Kelli Hardin, APRN
Individual provider Active NPI Nurse Practitioner · Holly Springs, GA
NPI 1851784656 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1851784656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN220318 (GA)
- Practice address
- 684 Sixes Rd Ste 125a
Holly Springs, GA 30115-8758 - Phone
- (678) 426-5450
- Fax
- (678) 426-5454
- NPI assigned
- Mar 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Twelvestone Infusion Centers LLC
Northside Urgent Care Holding LLC
Practice addresses (Care Compare)
125 Oakside CT
Suite 201
Canton, GA 30114-2498
Phone (844) 893-0012
2920 Ronald Reagan Blvd
Suite 103
Cumming, GA 30041-7578
Phone (844) 893-0012
2925 Premiere Pkwy
Suite 145
Duluth, GA 30097-5248
Phone (844) 893-0012
684 Sixes Rd
125A
Holly Springs, GA 30115-8758
Phone (678) 426-5450
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151013001710 | GA | Practitioner - Nurse Practitioner | 0648589622 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twelvestone Infusion Centers LLC | Nurse Practitioner | Current |
Accepting new patients |
| Northside Urgent Care Holding, LLC | Current |
Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Past |
Accepting new patients |
Locations
125 Oakside Ct
Ste 201
Canton, GA 30114
81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000
684 Sixes Rd
#125A
Holly Springs, GA 30115
Phone (678) 426-5450
684 Sixes Rd
Ste 125
Holly Springs, GA 30115
Phone (678) 426-5450
Interoperability endpoints
- kelli.hardin@1434047938564.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN220318 | GA | Yes |
| Family Nurse Practitioner | 363LF0000X | RN220318 | GA |
Addresses
Primary practice location
684 Sixes Rd Ste 125a
Holly Springs, GA 30115-8758
Mailing address
185 Swanee LN
Woodstock, GA 30188-2497
Other practice location 1
5885 Glenridge Dr Ste 100
Atlanta, GA 30328-5572
Phone (678) 321-8546
Other providers in Holly Springs, GA
- Jillian Ferdinand
- Jazzmin Gastley
- Georgia Chiropractic and Massage, PC
- Samuel J Gold
- Sherene Good
- Jason Robert Hefner
- Aviva Hilburg
- Philip M Hotchkiss
- Jimmy J Jiang
- Mindy Bishop Joyner
All providers in Holly Springs, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 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.