Kelly Wills Advani, MD
Individual provider Active NPI Pediatrics Physician · Atlanta, GA
NPI 1821386038 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1821386038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 109318 (GA)
- Practice address
- 35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032 - Phone
- (404) 785-9850
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2201 Henderson Mill Rd NE
Atlanta, GA 30345-2711
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140917001976 | MA | Practitioner - Pediatric Medicine | 0941429351 | Reassigns benefits to 2 organizations |
| I20251017001650 | GA | Practitioner - Pediatric Medicine | 0941429351 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Pediatric Associates Inc | Pediatrics | Current |
Accepting new patients |
| Emory Medical Care Foundation Inc | Current |
Accepting new patients | |
| Emory Medical Care Foundation Inc | Current |
Accepting new patients | |
| Children'S Hospital Pediatric Associates, Inc | Pediatrics | Current |
Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500
800 Washington St
#286
Boston, MA 02111
Phone (617) 636-5078
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
Interoperability endpoints
- kadvani27607@direct.bostonchildrens.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 109318 | GA | Yes |
Addresses
Primary practice location
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032
Mailing address
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032
Phone (404) 785-9850
Other names
- Kelly Marie Wills
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All providers in Atlanta, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.