Active NPI
Kelly Leigh Kurtz, ARNP-C
- Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN308026
- Practice address
- 1372 Peachtree St NE
Atlanta, GA 30309-3203 - Phone
- (470) 964-1700
- Fax
- (678) 288-5639
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 834163 | NV | |
| Adult Health Nurse Practitioner | 363LA2200X | 308061 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 95010236 | CA | |
| Nurse Practitioner | 363L00000X | RN308026 | GA | Primary |
Addresses
Primary practice location
1372 Peachtree St NE
Atlanta, GA 30309-3203
Mailing address
PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346
Other practice location 1
1250 Waters Pl
602
Bronx, NY 10461-2720
Phone (877) 226-8500
Other practice location 2
1000 S Rainbow Blvd
Las Vegas, NV 89145-6231
Phone (702) 216-3346
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275698284 | Other | NPI | |
| 0019761000 | Medicaid | FL | |
| Y03N2 | Other | FL | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Atlanta, GA 30326
Phone (470) 964-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN308026 | GA | MD | Nurse Practitioner |
| 95010236 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Mso LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Applebaum Physiatry PLLC | Current | Accepting new patients | |
| Nursing Home Physician Group PLLC | Past | Accepting new patients | |
| Internal Medicine Associates of Lee County MD PA | Nurse Practitioner | Past | Accepting new patients |
| Your Care Clinics LLC | Past | Accepting new patients |
Locations
1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700
1800 Phoenix Blvd
Ste 12812
Atlanta, GA 30349
Phone (678) 525-7787
618 Gennett Dr
Jasper, GA 30143
Phone (706) 692-5123
1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595
128 S East St
Unit 1109
Crown Point, IN 46308
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1164149365
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1952196164
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
GA
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1972565919
Nurse Practitioner
-
- Physical Medicine & Rehabilitation Physician
- Warrenville, IL
- NPI 1417703844
-
- Internal Medicine Physician
- Largo, FL
- NPI 1174780589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1275698284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98978",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891938978",
"telephone_number": "702-216-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1372 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093203",
"telephone_number": "470-964-1700",
"fax_number": "678-288-5639"
}
],
"practiceLocations": [
{
"address_1": "1250 Waters Pl",
"address_2": "602",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104612720",
"country_code": "US",
"telephone_number": "877-226-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 S Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891456231",
"country_code": "US",
"telephone_number": "702-216-3346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURTZ",
"first_name": "KELLY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "834163",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "308061",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95010236",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN308026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1275698284",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019761000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y03N2",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.