Kirsty J Elwell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

GA4447 Issued in GA

Practice address

2001 Antioch Rd
Dalton, GA 30721-4622

Phone

(706) 275-7600

Fax

(706) 275-0013

NPI assigned

Oct 24, 2006

Last updated

May 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Catoosa Family Medicine

  • Family Medicine Physician
  • Ringgold, GA
  • NPI 1851478028
  NPD (past)
• Cherokee Emergency Services, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Atlanta, GA
  • NPI 1992754717
  NPD (past)
• Northside Cherokee Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Atlanta, GA
  • NPI 1740515618
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1902980246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ANTIOCH RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214622",
            "telephone_number": "706-275-7600",
            "fax_number": "706-275-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ANTIOCH RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214622",
            "telephone_number": "706-275-7600",
            "fax_number": "706-275-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWELL",
        "first_name": "KIRSTY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "GA4447",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Tatum Elliott
• David Ellis, LPC
• Leslie Elaine Ellis, PHD
• Chelsea Elrod
• Jim G. Elrod, RPH
• Seyed M Emadian, MD PH D
• Jamil Hilal Refat Enab, M.D.
• Enhanced Family Physio LLC
• Carly Paige Ensley, CCC-SLP
• Deirdre W Ensley, FNP, BC

• Medical Physician Assistant in Dalton, GA
• Providers in Dalton, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.