Kelly Pierannunzi, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN231921 Issued in GA

Practice address

1223 Friendship Road
Suite 200
Braselton, GA 30517

Phone

(470) 236-4084

Fax

(470) 236-4086

NPI assigned

Aug 26, 2017

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

Practice roles

Locations

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.

• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  GA

  Medicare reassignment NPD
• Family Practice Center, P.C.

  • Primary Care Clinic/Center
  • Atlanta, GA
  • NPI 1386763514
  NPD

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1326565771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 HIGHWAY 124 W",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305485900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 FRIENDSHIP ROAD",
            "address_2": "SUITE 200",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "30517",
            "telephone_number": "470-236-4084",
            "fax_number": "470-236-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERANNUNZI",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-26",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN231921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samhitha Peddada, MD
• Shanthan Pendem, MD
• Diego Perez, FNP
• Petrina Chiropractic
• Kyle Petrina, DC
• Lindsay Hale Pinion, PA-C
• Lydia Piutau, CSW
• Kalianna Marie Pivett, PA
• Plumeria Wellness, LLC
• Practical Child Therapy LLC (Practical Child Therapy)

• Family Nurse Practitioner in Braselton, GA
• Providers in Braselton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.