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ETHEL MAE KELLEY
NPI 1023712163
Registered Nurse - Addiction (Substance Use Disorder) in Lagrange, GA

Active since March 30, 2023
229 S DAVIS RD STE 900, LAGRANGE, GA 30241(706) 756-1489 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethel Mae Kelley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHEL MAE KELLEY (NPI 1023712163) is an individual addiction (substance use disorder) provider in Lagrange, Georgia, licensed in Florida (RN3191402) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1023712163
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameETHEL MAE KELLEY
Location Address229 S DAVIS RD STE 900Lagrange, GA 30241-2609
Mailing Address229 S Davis Rd Ste 900Lagrange, GA 30241-2609 · (706) 756-1489
Phone(706) 756-1489
Sole ProprietorNo
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1023712163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in FL · RN3191402
229 S DAVIS RD STE 900, Lagrange, GA 30241
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARI KAY DARK-REYNOLDS
Counselor (Addiction (Substance Use Disorder))
229 S DAVIS RD STE 900
LAGRANGE, GA 30241
Troup County (877) 848-9810
JILL GARCIA
Licensed Practical Nurse
229 S DAVIS RD STE 900
LAGRANGE, GA 30241
Troup County (706) 756-1489
MARY GUNN
Social Worker
229 S DAVIS RD STE 900
LAGRANGE, GA 30241
Troup County (800) 805-6989
CAMILLE CLEMONS
Counselor (Addiction (Substance Use Disorder))
229 S DAVIS RD STE 900
LAGRANGE, GA 30241
Troup County (706) 756-1489
JESSICA ROSALIE BISHOP
Licensed Practical Nurse
229 S DAVIS RD STE 900
LAGRANGE, GA 30241
Troup County (800) 805-6989
JESSICA CASTELLANOS
Licensed Practical Nurse
229 S DAVIS RD STE 900
LAGRANGE, GA 30241
Troup County (706) 756-1489
TAMEKA STINSON
Licensed Practical Nurse
229 S DAVIS RD STE 900
LAGRANGE, GA 30241
Troup County (706) 756-1489
SHERRI AFOLABI
Counselor (Addiction (Substance Use Disorder))
229 S DAVIS RD STE 900
LAGRANGE, GA 30241
Troup County (706) 756-1489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethel Kelley's NPI number?

The NPI number for Ethel Kelley is 1023712163. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Ethel Kelley located?

Ethel Kelley practices at 229 S Davis Rd Ste 900, Lagrange, GA 30241. The listed phone number is (706) 756-1489.

What is Ethel Kelley's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Ethel Kelley was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.