Active NPI
Kelley Robin Hart
- Pharmacist
- Cornelia, GA
National Provider Identifier
1366212979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015496
- Practice address
- 199 Habersham County Shopping Ctr
Cornelia, GA 30531-3412 - Phone
- (706) 778-8099
- NPI assigned
- Jan 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 015496 | GA | Primary |
Addresses
Primary practice location
199 Habersham County Shopping Ctr
Cornelia, GA 30531-3412
Mailing address
PO Box 819
Clarkesville, GA 30523-0014
Phone (706) 499-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015496 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients | |
| Ingles Markets Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Acworth, GA
- NPI 1023872108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1366212979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 819",
"city": "CLARKESVILLE",
"state": "GA",
"postal_code": "305230014",
"telephone_number": "706-499-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 HABERSHAM COUNTY SHOPPING CTR",
"city": "CORNELIA",
"state": "GA",
"postal_code": "305313412",
"telephone_number": "706-778-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "KELLEY",
"middle_name": "ROBIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-04",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "015496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.