Active NPI
Jennise M Kelson, CRNA
- Certified Registered Nurse Anesthetist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN112685
- Practice address
- 5671 Johnson Ferry Rd
Suite 680
Atlanta, GA 30342-1606 - Phone
- (770) 722-5786
- Fax
- (770) 722-5786
- NPI assigned
- Sep 27, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN112685 | GA | Primary |
Addresses
Primary practice location
5671 Johnson Ferry Rd
Suite 680
Atlanta, GA 30342-1606
Mailing address
4358 Lochsa LN
Suwanee, GA 30024-1739
Phone (678) 889-4862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC, SC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290
800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330
820 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330
Hospital & facility affiliations
- Musc Health Lancaster Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Care, Inc | Current | Accepting new patients | |
| SG Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| WGG Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gateway Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Anesthesia Professionals Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094
160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889
763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108
400 10th St E
Waconia, MN 55387
1025 NE Gateway Ct NE
Concord, NC 28025
Phone (704) 920-7020
2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
- NPI 1053750646
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Carrollton, GA
- NPI 1578843280
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
NC, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1548401789
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Family Medicine Physician
- Florence, SC
- NPI 1093076457
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1972692978
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437145166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4358 LOCHSA LN",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241739",
"telephone_number": "678-889-4862",
"fax_number": "678-889-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 JOHNSON FERRY RD",
"address_2": "SUITE 680",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "770-722-5786",
"fax_number": "770-722-5786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSON",
"first_name": "JENNISE",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN112685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.