Kelli Spivey

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN239717 Issued in GA

Practice address

535 Jesse Jewell Pkwy SE Ste C
Gainesville, GA 30501-3772

Phone

(770) 534-9014

Fax

(770) 534-9012

NPI assigned

Jan 11, 2018

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gainesville Heart and Vascular Group PCGroup PAC ID 6507040409, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7421/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelli.spivey.1@7421.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.

• Gainesville Heart and Vascular Group PC

  • Specialist
  • Gainesville, GA
  • NPI 1477861557
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1912415092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JESSE JEWELL PKWY SE STE C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013772",
            "telephone_number": "770-534-9014",
            "fax_number": "770-534-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JESSE JEWELL PKWY SE STE C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013772",
            "telephone_number": "770-534-9014",
            "fax_number": "770-534-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech on the Go, Inc.
• Amy Spence, DO
• Sheridan H Spencer, LAC
• Spero Psychotherapy, LLC
• Justin Spinks, PHARMD
• Stephanie Springfield, DO
• Lauren Avery Sprouse, AA
• Sr Medical Transport
• Chitra Srinivasan
• Hemant Srivastava, MD

• Family Nurse Practitioner in Gainesville, GA
• Providers in Gainesville, 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 11, 2018; 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.