Active NPI
Kelly C Grow, MD
- Gastroenterology Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 051353
- Practice address
- 340 N Milledge Ave Ste B
Athens, GA 30601-3806 - Phone
- (706) 548-0008
- Fax
- (706) 369-9673
- NPI assigned
- Jun 23, 2006
- Last updated
- Oct 3, 2018
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 051353 | GA | Primary |
Addresses
Primary practice location
340 N Milledge Ave Ste B
Athens, GA 30601-3806
Mailing address
1001 Summit Blvd Ste 200
Brookhaven, GA 30319-6410
Phone (770) 989-1668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382474810H | Medicaid | GA |
Other names 1
- Kelly B Crawford
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Mercer University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 Windy Hill Rd SE
Suite 102
Marietta, GA 30067-8633
Phone (770) 612-8165
340 N Milledge Ave
Suite B
Athens, GA 30601-3806
Phone (706) 548-0008
488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075
592 Ridgeway Rd
Suite B
Commerce, GA 30529-1334
Phone (706) 548-0008
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 190 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 244 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga Professional Services, LLC | Gastroenterology | Current | Accepting new patients |
| Aga, LLC | Gastroenterology | Current | Accepting new patients |
| Aga Clinical Services, LLC | Gastroenterology | Current | Accepting new patients |
Locations
340 N Milledge Ave
Ste B
Athens, GA 30601
Phone (706) 548-0008
740 Prince Ave
Ste 15
Athens, GA 30606
Phone (706) 548-0008
218 Hospital Dr
#C
Blairsville, GA 30512
Phone (706) 400-5668
2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165
488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075
488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075
2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610
5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342
1305 Jennings Mill Rd
Ste 260
Watkinsville, GA 30677
Phone (706) 548-0008
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
- kelly.grow@ud.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
dba Atlanta Gastroenterology Associates
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1295193399
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
dba St. Mary's Good Samaritan Hospital
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1588690382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SUMMIT BLVD STE 200",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303196410",
"telephone_number": "770-989-1668",
"fax_number": "706-369-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N MILLEDGE AVE STE B",
"city": "ATHENS",
"state": "GA",
"postal_code": "306013806",
"telephone_number": "706-548-0008",
"fax_number": "706-369-9673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROW",
"first_name": "KELLY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "051353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "382474810H",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "CRAWFORD",
"middle_name": "B",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.
- 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.