Kelly Fendley, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN197466 Issued in GA

Practice address

162 Hospital Rd Ste a
Blairsville, GA 30512-3139

Phone

(706) 745-3333

NPI assigned

Jun 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union General Hospital Hospital, Blairsville, GA, CCN 110051

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelly.fendley.1@8042.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment Care Compare group NPD
• Union County Hospital Authority

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Medicare reassignment NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Union County Hospital Authority

  • Rheumatology Physician
  • Blairsville, GA
  • NPI 1427428994
  NPD
• Union County Hospital Authority

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1669923744
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Union County Hospital Authority

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Care Compare affiliation

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1861832628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "706-745-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 HOSPITAL RD STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "706-745-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDLEY",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN197466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emotional Wellbeing Counseling LLC
• Empyrean Hospice of Georgia, LLC
• Anita Carol English
• Benita A. Esposito, LPC, LCMHC
• Family Dentistry of Blairsville, LLC
• Marta Jill Ferguson, D.O.
• Lucien Austin Flint, MD
• Carol Leanne Flowers, FNP-C
• Cori Robin Follick, LMT
• Barrett D Ford, PT

• Family Nurse Practitioner in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.