Individual provider Active NPI

Jennise M Kelson, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1437145166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN112685 Issued in GA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041130000909 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305801457 Reassigns benefits to 3 organizations
I20150325001890 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305801457 Reassigns benefits to 2 organizations
I20181217002080 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305801457 Reassigns benefits to 3 organizations

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
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

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 Hospital, Lancaster, SC, CCN 420036

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Feb 5, 2022 Accepting new patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 18, 2014 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Feb 1, 2011 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Musc Community Physicians Current Accepting new patients
WGG Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2012 Accepting new patients
Gateway Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2017 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2016 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2019 Accepting new patients
Carolina Family Care, Inc CurrentSince Feb 5, 2022 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.

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.

Verify at the official NPI Registry.