Kelly Withers West, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

125050671 Issued in IL

Practice address

1100 Lake Hearn Dr Ste 100
Atlanta, GA 30342-1524

Phone

(404) 256-9809

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kwest45635@choa.gadirect.net

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.

• North Atlanta Pediatric Associates, P.C.

  • Specialist
  • Atlanta, GA
  • NPI 1164412235
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1548426323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAKE HEARN DR STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421524",
            "telephone_number": "404-256-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE HEARN DR STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421524",
            "telephone_number": "404-256-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "KELLY",
        "middle_name": "WITHERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "65515",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125050671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA",
            "identifier": "65515",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James K West, D.C.
• Jiyeong West, AA
• Joserr West, CMA
• Justin Bernard West
• Karen C West, PHARM D
• Libbie Grace West, FNP-BC
• Nadesia West, OT
• Raven West, PA-C
• Renee Antoinette West, DMD
• Sally Agnes West, M.D.

• Pediatrics Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.