Active NPI
Kelcie Iles
- Behavior Analyst
- Decatur, GA
National Provider Identifier
1649077074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA002974
- Practice address
- 4177 Rainbow Dr
Decatur, GA 30034-2224 - Phone
- (404) 795-6935
- NPI assigned
- Feb 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1776 | TN | |
| Behavior Analyst | 103K00000X | LBA002974 | GA | Primary |
Addresses
Primary practice location
4177 Rainbow Dr
Decatur, GA 30034-2224
Mailing address
1101 Carter St
Chattanooga, TN 37402-5017
Phone (318) 237-0766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1776 | TN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1649077074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 CARTER ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374025017",
"telephone_number": "318-237-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4177 RAINBOW DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300342224",
"telephone_number": "404-795-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILES",
"first_name": "KELCIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-25",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1776",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "LBA002974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
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- Faith Ighile, FNP-C
- Makoto Ikegami, DSW, MSW, LCSW
- Ebosetale Ikheloa
- Lydia Im, PHARMD
- Imani Psychological Services, Inc
- Impact Wellness Center
- Imperial Lilly Holistic Health
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.