Individual provider Active NPI

Kelly Lowery, DNP, FNP-BC

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1770149973
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN227395 Issued in GA
Practice address
3541 N Crossing Cir
Valdosta, GA 31602-1019
Phone
(229) 244-4200
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN227395 GA Primary

Addresses

Primary practice location

3541 N Crossing Cir
Valdosta, GA 31602-1019

Mailing address

4021 Nelson Hill PL
Hahira, GA 31632-3192
Phone (229) 560-2039

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
I20191015003207 GA Practitioner - Nurse Practitioner 6002147428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valdosta Psychiatric Associates, LLCGroup PAC ID 6305832650, 8 clinicians

Practice addresses (Care Compare)

3541 N Crossing Cir
Valdosta, GA 31602-1019
Phone (229) 244-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN227395GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Psychiatric Associates, LLC CurrentSince Aug 12, 2019 Accepting new patients

Locations

3541 N Crossing Cir
Valdosta, GA 31602
Phone (229) 244-4200

Organizations & group practices 1

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1770149973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 NELSON HILL PL",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316323192",
            "telephone_number": "229-560-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 N CROSSING CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021019",
            "telephone_number": "229-244-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "KELLY",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.