KAITLYN NICOLE KELLY PA
NPI 1023811270
Physician Assistant in Springfield, GA

Q: What is Kaitlyn Kelly's NPI number?

The NPI number for Kaitlyn Kelly is 1023811270. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Kaitlyn Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Kelly was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since March 31, 2025PECOS Enrolled

1571 HIGHWAY 21 S, SPRINGFIELD, GA 31329(912) 754-7500 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Kaitlyn Nicole Kelly Pa NPPES

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

KAITLYN NICOLE KELLY PA (NPI 1023811270) is an individual physician assistant in Springfield, Georgia and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023811270

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAITLYN NICOLE KELLYCredential: PA

Location Address1571 HIGHWAY 21 SSpringfield, GA 31329-5214

Mailing Address405 Wrigley Field DrGuyton, GA 31312-4650 · (912) 398-3939

Phone(912) 754-7500

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 31, 2025

NPPES CertifiedMarch 31, 2025

✔ NPI 1023811270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1571 HIGHWAY 21 S, Springfield, GA 31329

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Nicole Kelly Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466969969

PECOS Enrollment IDI20250729003669

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31329 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

EFFINGHAM MEDICAL PARTNERS, LLC

Internal Medicine