Individual provider Active NPI

Rachel Jordan Kelley, FNP-BC

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1710765284
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN258590 Issued in GA
Practice address
173 Boulevard NE
Atlanta, GA 30312-1468
Phone
(404) 658-1500
NPI assigned
Sep 18, 2023
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 258590 GA
Family Nurse Practitioner 363LF0000X RN258590 GA Primary

Addresses

Primary practice location

173 Boulevard NE
Atlanta, GA 30312-1468

Mailing address

5416 N Peachtree Rd
Dunwoody, GA 30338-3134
Phone (770) 846-6233

Other names 1

  • Ms. Rachel Jordan Huckaby Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116000762 GA Practitioner - Nurse Practitioner 5698127603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
258590GAMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Plus Urgent Care Urgent Care CurrentSince Nov 1, 2023 Accepting new patients
Wellstreet of Georgia PC PastSince Dec 17, 2023 Accepting new patients

Locations

2121 Salem Rd SE
Conyers, GA 30013
Phone (470) 826-4051

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDAHBD
  • Direct secure messaging: rachel.kelley.1@10414.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1710765284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 N PEACHTREE RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383134",
            "telephone_number": "770-846-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 BOULEVARD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121468",
            "telephone_number": "404-658-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "RACHEL",
        "middle_name": "JORDAN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "258590",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN258590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HUCKABY",
            "middle_name": "JORDAN",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.