Individual provider Active NPI

Venus M Kell, NP-C

  • Family Nurse Practitioner
  • Canton, GA
National Provider Identifier
1265196562
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN262409 Issued in GA
Practice address
1495 Hickory Flat Hwy Ste 140
Canton, GA 30115-4267
Phone
(678) 513-2273
Fax
(678) 513-8869
NPI assigned
Oct 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 RN262409 GA Primary

Addresses

Primary practice location

1495 Hickory Flat Hwy Ste 140
Canton, GA 30115-4267

Mailing address

3970 Deputy Bill Cantrell Mem Ste 100
Cumming, GA 30040-3069
Phone (678) 513-2273

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
I20220801001076 GA Practitioner - Nurse Practitioner 5597147025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care, LLCGroup PAC ID 0941303622, 45 clinicians

Practice addresses (Care Compare)

1495 Hickory Flat Hwy
Suite 140
Canton, GA 30115-4267
Phone (678) 513-2273

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
90.12
Promoting interoperability
100
Improvement activities
40
Cost
75.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN262409GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care, LLC CurrentSince Apr 1, 2024 Accepting new patients
Heart and Vascular Care CurrentSince Apr 1, 2024 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jul 25, 2022 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Jul 25, 2022 Accepting new patients

Locations

1495 Hickory Flat Hwy
Ste 140
Canton, GA 30115

101 Harmony Lake Dr
Ste 101
Canton, GA 30115
Phone (678) 866-3637

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040
Phone (678) 208-6146

3970 Deputy Bill Cantrell Mem
Ste 100
Cumming, GA 30040

101 Harmony Lake Dr
Holly Springs, GA 30115

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • Direct secure messaging: venus.kell.1@1164.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1265196562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEM STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403069",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 HICKORY FLAT HWY STE 140",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154267",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "VENUS",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN262409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.