Individual provider Active NPI

Livia O Kell

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1194532358
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN229063 Issued in GA
Practice address
4311 Goswell Rd SE
Smyrna, GA 30082-3419
Phone
(770) 330-0596
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN229063 GA Primary

Addresses

Primary practice location

4311 Goswell Rd SE
Smyrna, GA 30082-3419

Mailing address

4311 Goswell Rd SE
Smyrna, GA 30082-3419
Phone (770) 330-0596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602001453 GA Practitioner - Nurse Practitioner 2466961453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN229063GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pophealthcare Medical Services of Ga, LLC Family CurrentSince May 13, 2025 Accepting new patients
Children'S Carrdiovascular Medicine P.C Past Accepting new patients

Locations

2 Sun Ct
Ste 400
Peachtree Corners, GA 30092
Phone (615) 721-7020

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1194532358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 GOSWELL RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823419",
            "telephone_number": "770-330-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 GOSWELL RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823419",
            "telephone_number": "770-330-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "LIVIA",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN229063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.