Individual provider Active NPI

Kelli Hardin, APRN

  • Nurse Practitioner
  • Holly Springs, GA
National Provider Identifier
1851784656
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN220318 Issued in 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
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN220318 GA Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013001710 GA Practitioner - Nurse Practitioner 0648589622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twelvestone Infusion Centers LLCGroup PAC ID 6800151424, 64 clinicians
Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN220318GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twelvestone Infusion Centers LLC Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients
Northside Urgent Care Holding, LLC CurrentSince Jul 1, 2015 Accepting new patients
Northside Primary Care Professional Services,LLC PastSince Aug 6, 2019 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

  • Direct secure messaging: kelli.hardin@1434047938564.direct.elationemr.com

Organizations & group practices 3

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1851784656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SWANEE LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 SIXES RD STE 125A",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301158758",
            "telephone_number": "678-426-5450",
            "fax_number": "678-426-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5885 Glenridge Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285572",
            "country_code": "US",
            "telephone_number": "678-321-8546",
            "fax_number": "855-201-7393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "KELLI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN220318",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, GA

Sources for this page

Verify at the official NPI Registry.