Individual provider Active NPI

Kelley E Hubbard, CRNA MBA MS

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1659348688
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP1183292 Issued in FL
Practice address
3193 Howell Mill Rd NW Ste 315
Atlanta, GA 30327-2100
Phone
(888) 408-0200
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP1183292 FL Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW Ste 315
Atlanta, GA 30327-2100

Mailing address

575 Professional Dr Ste 165
Lawrenceville, GA 30046-3300
Phone (770) 277-3056

Other identifiers 1

IdentifierTypeStateIssuer
304586200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160309002543 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749387652 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians

Practice addresses (Care Compare)

4275 Johns Creek Pkwy
Suite a
Suwanee, GA 30024-9117
Phone (678) 475-1606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
ARNP1183292FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince May 23, 2016 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Dec 30, 2021 Accepting new patients
Canton Eye Surgery Center CurrentSince May 1, 2016 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 25, 2018 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Dec 1, 2017 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Ahs Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Mulkey Anesthesiology Associates LLC CurrentSince May 23, 2016 Accepting new patients
Buford Eye Surgery Center CurrentSince May 1, 2016 Accepting new patients
Ahs Surgery Center Canton LLC PastSince Nov 5, 2016 Accepting new patients

Locations (25 of 31)

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

3870 Medical Park Dr
Ste 100
Austell, GA 30106

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

1995 Mall of Georgia Blvd
Ste C
Buford, GA 30519
Phone 67838120201022

201 Kimberly Way
Ste 104
Canton, GA 30114

201 Kimberly Way
Ste 100
Canton, GA 30114

970 Sanders Rd
Ste 200
Cumming, GA 30041

970 Sanders Rd
Ste 100
Cumming, GA 30041

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

34 Upper Riverdale Rd SE
Ste 201B
Riverdale, GA 30274
Phone (678) 904-0094

34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094

5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

Organizations & group practices 11

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1659348688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 PROFESSIONAL DR STE 165",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463300",
            "telephone_number": "770-277-3056",
            "fax_number": "855-204-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 315",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272100",
            "telephone_number": "888-408-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "KELLEY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CRNA MBA MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1183292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304586200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.