Individual provider Active NPI

Kelsey Key, FNP

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1225734999
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN293305 Issued in GA
Practice address
17 Professional Dr Ste 100
Brunswick, GA 31520-3784
Phone
(912) 574-5838
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 RN293305 GA Primary

Addresses

Primary practice location

17 Professional Dr Ste 100
Brunswick, GA 31520-3784

Mailing address

PO Box 21852
Saint Simons Island, GA 31522-0952
Phone (901) 481-7710

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
I20230228002680 GA Practitioner - Nurse Practitioner 2668845397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samantha Meeks Family Practice LLCGroup PAC ID 0446681381, 2 clinicians

Practice addresses (Care Compare)

17 Professional Dr
Suite 100
Brunswick, GA 31520-3784
Phone (912) 574-5838

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN293305GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Meeks Family Practice, LLC CurrentSince Feb 13, 2023 Accepting new patients

Locations

17 Professional Dr
Ste 100
Brunswick, GA 31520
Phone (912) 275-7346

Interoperability endpoints

  • Direct secure messaging: kelsey.key.1@20329.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20329/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1225734999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21852",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315220952",
            "telephone_number": "901-481-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROFESSIONAL DR STE 100",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203784",
            "telephone_number": "912-574-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY",
        "first_name": "KELSEY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN293305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.