Individual provider Active NPI

Kelly Wills Advani, MD

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1821386038
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
109318 Issued in GA
Practice address
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032
Phone
(404) 785-9850
NPI assigned
Jul 21, 2011
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 109318 GA Primary

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 1

  • Kelly Marie Wills Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140917001976 MA Practitioner - Pediatric Medicine 0941429351 Reassigns benefits to 2 organizations
I20251017001650 GA Practitioner - Pediatric Medicine 0941429351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
109318GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Oct 2, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Oct 2, 2025 Accepting new patients
Children's Hospital Pediatric Associates, Inc Pediatrics CurrentSince Jul 1, 2015 Accepting new patients
Pratt Pediatric Associates Inc Pediatrics CurrentSince Aug 1, 2014 Accepting new patients

Locations

35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#286
Boston, MA 02111
Phone (617) 636-5078

Interoperability endpoints

  • Direct secure messaging: kadvani27607@direct.bostonchildrens.org

Organizations & group practices 4

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1821386038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033032",
            "telephone_number": "404-785-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033032",
            "telephone_number": "404-785-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADVANI",
        "first_name": "KELLY",
        "middle_name": "WILLS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "109318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WILLS",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.