Kellie Jo Stotsky

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN262321 Issued in FM

Practice address

303 Medical Dr
Suite 405
Lagrange, GA 30240-4169

Phone

(706) 242-5099

Fax

(706) 242-5231

NPI assigned

Sep 29, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DHP of Piedmont PC

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1316202609
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1790234953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEDICAL DR",
            "address_2": "SUITE 405",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404169",
            "telephone_number": "706-242-5099",
            "fax_number": "706-242-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL DR",
            "address_2": "SUITE 405",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404169",
            "telephone_number": "706-242-5099",
            "fax_number": "706-242-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTSKY",
        "first_name": "KELLIE",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FM",
            "license": "RN262321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameka Stinson
• Aaron Stoker, DMD
• Dawn Stone, FNP-C
• Kimberly Rudd Storey, PHARMD
• Devorah Laticia Story, BA
• Robert M Stout, MD
• Gabriella Lea Stribling, MD
• Linda Stribling, R.PH.
• Allison Strickland
• Jacob Edward Strickland, PT, DPT

• Advanced Practice Midwife in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.