Active NPI
Kelley E Hubbard, CRNA MBA MS
- Certified Registered Nurse Anesthetist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP1183292
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304586200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1183292 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Interventional Spine and Pain Management Ambulatory Surgical Center | Current | Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Canton Eye Surgery Center | Current | Accepting new patients | |
| Gastroenterology Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ahs Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mulkey Anesthesiology Associates LLC | Current | Accepting new patients | |
| Buford Eye Surgery Center | Current | Accepting new patients | |
| Ahs Surgery Center Canton LLC | Past | 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.
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Smyrna, GA
- NPI 1316214604
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
GA
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1942563242
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
GA, Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Conyers, GA
- NPI 1750420147
-
- Ambulatory Surgical Clinic/Center
- Canton, GA
- NPI 1225457948
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.