Active NPI
Madison N Kelly
- Behavior Analyst
- Alpharetta, GA
National Provider Identifier
1891300778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1040 Cambridge SQ Ste a
Alpharetta, GA 30009-1800 - Phone
- (470) 751-4642
- NPI assigned
- Sep 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1040 Cambridge SQ Ste a
Alpharetta, GA 30009-1800
Mailing address
1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679
Phone (844) 359-7629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ft BHWC, LLC | Behavior Analyst | Past | Accepting new patients |
| Early Autism Project, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Savannah, GA
- NPI 1336358647
-
- Behavior Analyst
- Nashville, TN
- NPI 1417603002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1891300778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 MURFREESBORO PIKE STE 702",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372172679",
"telephone_number": "844-359-7629",
"fax_number": "615-577-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 CAMBRIDGE SQ STE A",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300091800",
"telephone_number": "470-751-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MADISON",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.