Active NPI
Allison Kelley, FNP-C
- Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN188654
- Practice address
- 125 King Ave Ste 200
Athens, GA 30606-6710 - Phone
- (706) 369-4478
- Fax
- (706) 353-6639
- NPI assigned
- Feb 9, 2018
- Last updated
- Aug 14, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN188654 | GA | Primary |
| Family Medicine Physician | 207Q00000X | RN188654 | GA |
Addresses
Primary practice location
125 King Ave Ste 200
Athens, GA 30606-6710
Mailing address
1835 Savoy Dr Ste 203
Atlanta, GA 30341-1073
Phone (770) 496-9430
Other practice location 1
1000 Cowles Clinic Way Ste M-200
Greensboro, GA 30642-4541
Phone (706) 454-0159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN188654 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | allison.kelleyfnpc.d1.p1@direct.gacancer.nextgenshare.com | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN188654 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Urgent Care - Royston LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Current | Accepting new patients | |
| Reddy Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Creative Hospice Care Inc | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G LLC | Current | Accepting new patients | |
| Reddy Urgent Care-Monroe LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Past | Accepting new patients | |
| Creative Hospice Care, Inc | Family Medicine | Past | Accepting new patients |
Locations
1061 Dowdy Rd
Ste 101
Athens, GA 30606
Phone (706) 621-7555
1061 Dowdy Rd
Ste 204
Athens, GA 30606
Phone (706) 549-3111
125 King Ave
Ste 200
Athens, GA 30606
Phone (706) 369-4478
1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555
1561 Lenru Rd
Ste A
Bogart, GA 30622
Phone (706) 548-8444
1000 Cowles Clinic Way
Ste M-200
Greensboro, GA 30642
Phone (706) 454-0159
500 Great Oaks Dr
Ste 9
Monroe, GA 30655
Phone (678) 905-9121
132 Franklin Springs St
Royston, GA 30662
Phone (706) 245-7371
132 Franklin Springs St
Ste A
Royston, GA 30662
Phone (706) 245-7371
1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549
Interoperability endpoints
- allison.kelley.1@22260.direct.athenahealth.com
- allison.kelleyfnpc.d1.p1@direct.gacancer.nextgenshare.com
- https://api.platform.athenahealth.com/22260/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
dba Eternal Faith Hospice and Palliative Care
- Clinic/Center
- Bogart, GA
- NPI 1437897956
-
- Hematology & Oncology Physician
- Sandy Springs, GA
- NPI 1144571381
-
dba Athens Reddy Medical Group
- Internal Medicine Physician
- Athens, GA
- NPI 1427184654
Family Medicine
-
dba Monroe Reddy Urgent Care
- Urgent Care Clinic/Center
- Monroe, GA
- NPI 1689097859
-
- Durable Medical Equipment & Medical Supplies
- Blue Ridge, GA
- NPI 1629329792
-
dba Royston Reddy Urgent Care
- Urgent Care Clinic/Center
- Royston, GA
- NPI 1093847444
-
dba Eternal Faith Hospice and Palliative Care
- Community Based Hospice Care Agency
- Bogart, GA
- NPI 1326330010
Family Medicine
-
- Hematology & Oncology Physician
- Atlanta, GA
- NPI 1124379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1952800583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR STE 203",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411073",
"telephone_number": "770-496-9430",
"fax_number": "404-891-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 KING AVE STE 200",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066710",
"telephone_number": "706-369-4478",
"fax_number": "706-353-6639"
}
],
"practiceLocations": [
{
"address_1": "1000 Cowles Clinic Way Ste M-200",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "GA",
"postal_code": "306424541",
"country_code": "US",
"telephone_number": "706-454-0159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "ALLISON",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN188654",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "RN188654",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN188654",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "allison.kelleyfnpc.d1.p1@direct.gacancer.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "1000 Cowles Clinic Way Ste M-200",
"city": "Greensboro",
"state": "GA",
"country_code": "US",
"postal_code": "306424541",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.