MICHAEL KELLY APRN NP-C NPI 1134781073

NPI Information

  • NPI: 1134781073
  • Provider Name: MICHAEL KELLY, APRN, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1005 BOULDER DR
    GRAY, GA
    ZIP 31032
  • Phone: (478) 621-2100

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NPI Details

Michael Kelly, APRN, NP-C is a family nurse practitioner in Gray, GA. Michael Kelly, APRN, NP-C NPI is 1134781073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1005 BOULDER DR
GRAY, GA
ZIP 31032-141
Phone: (478) 621-2100
Fax: (478) 744-0481

The NPI 1134781073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Extended inpatient or observation hospital service, first hour (HCPCS:99356)
  • Extended inpatient or observation hospital service, first hour (HCPCS:99356)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)

The enumeration date for this NPI number is 7/1/2019 and was last updated on 7/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerRN244571GEORGIANo
2363LF0000XNurse PractitionerFamilyRN244571GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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