Individual provider Active NPI

Kelsey Oakley Shea, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1508684374
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN268445 Issued in GA
Practice address
1314 Concord Rd SE
Smyrna, GA 30080-4361
Phone
(770) 438-1799
Fax
(770) 825-9046
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN268445 GA Primary

Addresses

Primary practice location

1314 Concord Rd SE
Smyrna, GA 30080-4361

Mailing address

1314 Concord Rd SE
Smyrna, GA 30080-4361
Phone (770) 438-1799

Other practice location 1

1012 Coggins Pl NE
Marietta, GA 30060-2585
Phone (770) 422-2009

Other practice location 2

6025 Professional Pkwy
Douglasville, GA 30134-5609
Phone (770) 438-1799

Other practice location 3

1 Baltimore Pl NW Ste 200
Atlanta, GA 30308-2114
Phone (470) 737-1606

Other practice location 4

10475 Medlock Bridge Rd Ste 420
Johns Creek, GA 30097-4439
Phone (470) 737-1569

Other practice location 5

11755 Pointe Pl Ste A1
Roswell, GA 30076-4657
Phone (770) 667-1264

Other practice location 6

15 Medical Dr NE
Cartersville, GA 30121-8005
Phone (470) 737-1694

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218001047 GA Practitioner - Nurse Practitioner 4385164649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Psychiatry and SleepGroup PAC ID 4981736519, 31 clinicians

Practice addresses (Care Compare)

1314 Concord Rd SE
Smyrna, GA 30080-4361
Phone (770) 438-1799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN268445GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avant Behavioral Consultants Inc CurrentSince Jan 1, 2025 Accepting new patients
Georgia Psychiatry & Sleep CurrentSince Oct 27, 2025 Accepting new patients
Clearminds Behavioral Health LLC Psychiatric/Mental Health PastSince Jun 18, 2023 Accepting new patients
Psych Atlanta, P.C. PastSince Sep 7, 2017 Accepting new patients

Locations

1 Baltimore Pl NW
Ste 200
Atlanta, GA 30308
Phone (470) 737-1606

1810 Mulkey Rd
Ste 202
Austell, GA 30106
Phone (470) 593-8652

6025 Professional Pkwy
Ste 301
Douglasville, GA 30134

805 Lanier Ave E
Fayetteville, GA 30214

10475 Medlock Bridge Rd
Ste 420
Johns Creek, GA 30097
Phone (470) 737-1569

1012 Coggins Pl NE
Marietta, GA 30060
Phone (770) 422-2009

1121 Johnson Ferry Rd
Ste 450
Marietta, GA 30068
Phone (770) 973-8911

11755 Pointe Pl
Ste A1
Roswell, GA 30076
Phone (770) 667-1264

880 Marietta Hwy
Ste 630366
Roswell, GA 30075
Phone (573) 999-0193

1314 Concord Rd SE
Smyrna, GA 30080
Phone (770) 333-8889

Interoperability endpoints

  • Direct secure messaging: kelsey.shea.1@31211.direct.athenahealth.com

Organizations & group practices 4

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": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1508684374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804361",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804361",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Coggins Pl NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300602585",
            "country_code": "US",
            "telephone_number": "770-422-2009",
            "fax_number": "770-428-0330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6025 Professional Pkwy",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301345609",
            "country_code": "US",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baltimore Pl NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082114",
            "country_code": "US",
            "telephone_number": "470-737-1606",
            "fax_number": "833-973-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Medlock Bridge Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300974439",
            "country_code": "US",
            "telephone_number": "470-737-1569",
            "fax_number": "833-973-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11755 Pointe Pl Ste A1",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764657",
            "country_code": "US",
            "telephone_number": "770-667-1264",
            "fax_number": "770-667-2238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Medical Dr NE",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301218005",
            "country_code": "US",
            "telephone_number": "470-737-1694",
            "fax_number": "844-670-4367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "KELSEY",
        "middle_name": "OAKLEY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN268445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.