Active NPI
Kelly Marie Adkins, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceville, GA
National Provider Identifier
1295919694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 000817
- Practice address
- 1000 Medical Center Blvd
Department of Pathology
Lawrenceville, GA 30046-7694 - Phone
- (678) 312-4526
- NPI assigned
- Dec 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 000817 | GA | Primary |
Addresses
Primary practice location
1000 Medical Center Blvd
Department of Pathology
Lawrenceville, GA 30046-7694
Mailing address
PO Box 1686
Indianapolis, IN 46206-1686
Phone (800) 346-1181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 757333564A | Medicaid | GA | |
| 52227961 | Other | GA | BCBS |
Other names 1
- Kelly Marie Hornaman
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091207000233 | GA | Practitioner - Pathology | 7719026699 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Miami, LM Miller School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gwinnett Pathology Assoc PC
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 263-3225
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Northside Hospital Duluth
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.4 of 100
- Quality
- 71.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000817 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Medical Group, Inc | Current | Accepting new patients | |
| Gwinnett Pathology Assoc PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceville, GA
- NPI 1104887330
Anatomic Pathology & Clinical Pathology, GA
-
- General Practice Physician
- Lawrenceville, GA
- NPI 1780747469
Hospital & facility affiliations 3
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": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1295919694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1686",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061686",
"telephone_number": "800-346-1181",
"fax_number": "706-232-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "678-312-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADKINS",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "000817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "757333564A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52227961",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "HORNAMAN",
"middle_name": "MARIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.