Khelsea M. McCier, CPNP (N.P.)

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

210408 Issued in GA

Practice address

Medlock Pediatrics: 3497 Duluth Park Lane
Duluth, GA 30096

Phone

(770) 826-4760

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Khelsea Dodds Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kmccier@medlockpediatrics.gwaydirect.com

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.

• Arthur M. Blank Hospital, Inc.

  • Children's Hospital
  • Atlanta, GA
  • NPI 1689744450
  NPD (past)
• Brainz Therapy Inc.

  • Clinical Child & Adolescent Psychologist
  • Peachtree Corners, GA
  • NPI 1447858758
  NPD (past)
• Gwinnett Pediatric Partners, Inc

  • Pediatrics Physician
  • Lilburn, GA
  • NPI 1528469426
  NPD (past)

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1477911386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDLOCK PEDIATRICS: 3497 DULUTH PARK LANE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-826-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDLOCK PEDIATRICS: 3497 DULUTH PARK LANE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-826-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCIER",
        "first_name": "KHELSEA",
        "middle_name": "M.",
        "credential": "CPNP (N.P.)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN210408",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "210408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHELSEA",
            "last_name": "DODDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas J Mazzuckelli, PHD, DMD
• Theodora Mbanefo, MD
• MBS Connection LLC
• Ijuana McCain, LAPC
• Nicole McCarthan, ATC
• Aeriel McClain
• Madison Raye McClain
• Bethany McClure
• Salima McCoy, MSW
• Aprina McCutcheon, LCSW

• Pediatric Nurse Practitioner in Duluth, GA
• Providers in Duluth, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.