Kelsey George

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5175 Old Clemmons School Rd
Clemmons, NC 27012-9087

Phone

(704) 780-4271

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Carolina Center for Autism Services, LLC

  • Behavior Analyst
  • Durham, NC
  • NPI 1912069303

  Multi-Specialty

  NPD (past)
• The Carolina Center for ABA & Autism Treatment

  • Community/Behavioral Health Agency
  • Cary, NC
  • NPI 1184027252
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1750933719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 OLD CLEMMONS SCHOOL RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 OLD CLEMMONS SCHOOL RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129087",
            "telephone_number": "704-780-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Mackenan Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275117903",
            "country_code": "US",
            "telephone_number": "919-371-2848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Lynn Fuller, M.D., PH.D.
• Gahc3 Clemmons NC TRS Sub, LLC
• Mary Juliana Garner, MSW, LCSW
• Gaston Family Health Services, Inc
• Gastroenterology Associates of the Piedmont, P.a.
• Suzanne Michelle Gerald, FNP-C
• Giddens Six Transportation LLC
• Ryan Dwain Gilliam, MD
• Alicia Wilson Glenn, DNP, AGPCNP-BC
• Glorified Body Wellspa LLC

• Behavior Technician in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.