Individual provider Active NPI

Allison Kelley, FNP-C

  • Nurse Practitioner
  • Athens, GA
National Provider Identifier
1952800583
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN188654 Issued in GA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN188654MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181217001245 GA Practitioner - Nurse Practitioner 4587909783 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN188654GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Urgent Care - Royston LLC CurrentSince Aug 22, 2018 Accepting new patients
NSH Cancer Institute Professional Services G, LLC CurrentSince Jan 1, 2024 Accepting new patients
Reddy Medical Group LLC Family Medicine CurrentSince Aug 22, 2018 Accepting new patients
Creative Hospice Care Inc CurrentSince Sep 1, 2023 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Jan 1, 2024 Accepting new patients
Reddy Urgent Care-Monroe LLC CurrentSince Oct 7, 2019 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Past Accepting new patients
Creative Hospice Care, Inc Family Medicine PastSince Jan 17, 2022 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

  • Direct secure messaging: allison.kelley.1@22260.direct.athenahealth.com
  • Direct secure messaging: allison.kelleyfnpc.d1.p1@direct.gacancer.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.