KELLY FORREST NP NPI 1184084600

NPI Information

  • NPI: 1184084600
  • Provider Name: KELLY FORREST, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 705 DIXIE ST
    CARROLLTON, GA
    ZIP 30117
  • Phone: (770) 838-8824

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NPI Details

Kelly Forrest, NP is a gerontology nurse practitioner in Carrollton, GA. Kelly Forrest, NP NPI is 1184084600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

705 DIXIE ST
CARROLLTON, GA
ZIP 30117-818
Phone: (770) 838-8824
Fax: (770) 838-8563

The NPI 1184084600 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/25/2016 and was last updated on 2/25/2016.

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
1363LA2200XNurse PractitionerAdult HealthRN209834GEORGIANo
2363LG0600XNurse PractitionerGerontologyRN209834GEORGIAYes

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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