NPIMap

Organization Active NPI

Kelly Pediatric Services, LLC

Doing business as Pediatric Housecalls

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1841531068
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
034169 Issued in GA
Legal business name
KELLY PEDIATRIC SERVICES, LLC
Doing business as
Pediatric Housecalls
Practice address
1913 Druid Oaks NE
Atlanta, GA 30329-3286
Phone
(404) 323-2988
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Janetta M Kelly, MDNPI 1669666814
Title
Ceo
Phone
(404) 323-2988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 034169 GA Primary

Addresses

Primary practice location

1913 Druid Oaks NE
Atlanta, GA 30329-3286

Mailing address

1913 Druid Oaks NE
Atlanta, GA 30329-3286

Other identifiers 1

IdentifierTypeStateIssuer
003127186AMedicaidGA

Other names 1

  • PEDIATRIC HOUSECALLS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1841531068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 DRUID OAKS NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 DRUID OAKS NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293286",
            "telephone_number": "404-323-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY PEDIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JANETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-323-2988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "034169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127186A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC HOUSECALLS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.