Kelli Stewart, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN203396 Issued in GA

Practice address

1571 Highway 21 S
Springfield, GA 31329-5214

Phone

(912) 754-7500

NPI assigned

Jul 15, 2019

Last updated

Jul 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• Effingham Medical Partners, LLC

  • Internal Medicine Physician
  • Springfield, GA
  • NPI 1003060369
  Medicare reassignment

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1235781766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 HIGHWAY 21 S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313295214",
            "telephone_number": "912-754-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 HIGHWAY 21 S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313295214",
            "telephone_number": "912-754-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KELLI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN203396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Choices LLC
• Southern Choices of the Coast
• Southern Surgical Providers, P.C.
• Southern Surgical Providers, P.C.
• Springfield Chiropractic LLC
• Joseph Patrick Tallent, ATC
• The Caring Angels Private Home Care Agency LLC
• Kimberly Bowen Thompson, M.ED., CCC-SLP
• Bethany Thornton, RN
• Katrin Usifo, M.D.

• Gerontology Nurse Practitioner in Springfield, GA
• Providers in Springfield, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.