Individual provider Active NPI

Kalli Neuroth, DNP

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1346763240
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN246597 Issued in GA
Practice address
494 Baxter St Ste C
Athens, GA 30605-6115
Phone
(912) 308-8751
NPI assigned
Jul 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN246597 GA Primary

Addresses

Primary practice location

494 Baxter St Ste C
Athens, GA 30605-6115

Mailing address

2452 Riverglenn Cir
Dunwoody, GA 30338-5943
Phone (770) 380-7191

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
I20200529001104 GA Practitioner - Nurse Practitioner 6305267394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

3999 Austell Rd
Suite 901
Austell, GA 30106-1160
Phone (770) 809-3032

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN246597GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC Single Specialty CurrentSince May 4, 2019 Accepting new patients

Locations

3350 Riverwood Pkwy SE
Ste 1850
Atlanta, GA 30339
Phone (770) 809-3036

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3999 Austell Rd
Ste 901
Austell, GA 30106
Phone (770) 809-3032

101 Regency Park Dr
Ste 110
McDonough, GA 30253
Phone (404) 996-0123

Organizations & group practices 1

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": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1346763240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 RIVERGLENN CIR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385943",
            "telephone_number": "770-380-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 BAXTER ST STE C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306056115",
            "telephone_number": "912-308-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUROTH",
        "first_name": "KALLI",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN246597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.