Individual provider Active NPI

Kelsey Jane Herbert, MD

  • Pediatrics Physician
  • Sandy Springs, GA
National Provider Identifier
1356090757
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
104331 Issued in GA
Practice address
5883 Glenridge Dr Ste 100
Sandy Springs, GA 30328-5694
Phone
(404) 303-1314
Fax
(404) 303-1399
NPI assigned
Mar 22, 2022
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 104331 GA Primary

Addresses

Primary practice location

5883 Glenridge Dr Ste 100
Sandy Springs, GA 30328-5694

Mailing address

5883 Glenridge Dr Ste 100
Sandy Springs, GA 30328-5694
Phone (404) 303-1314

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706003172 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8729468962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104331GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Wellness Center Pediatrics PastSince Nov 24, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1356090757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5883 GLENRIDGE DR STE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285694",
            "telephone_number": "404-303-1314",
            "fax_number": "404-303-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5883 GLENRIDGE DR STE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285694",
            "telephone_number": "404-303-1314",
            "fax_number": "404-303-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "KELSEY",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "104331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.