Organization Active NPI

Kelly Care Oasis LLC

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1275440513
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KELLY CARE OASIS LLC
Practice address
933 Reda CT
McDonough, GA 30253-1906
Phone
(470) 851-6399
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Precious Kelly
Title
Ceo
Phone
(470) 851-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

933 Reda CT
McDonough, GA 30253-1906

Mailing address

1445 Woodmont LN NW Ste 2635
Atlanta, GA 30318-2866

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1275440513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 2635",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 REDA CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302531906",
            "telephone_number": "470-851-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CARE OASIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PRECIOUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-851-6399"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.