KELLY MACDONALD CPNP
NPI 1053455030
Nurse Practitioner - Pediatrics in Atlanta, GA

Q: What is Kelly Macdonald's NPI number?

The NPI number for Kelly Macdonald is 1053455030. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Kelly Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Macdonald was last updated on June 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 16, 2007PECOS Enrolled

1405 CLIFTON RD NE, ATLANTA, GA 30322(404) 785-1112(404) 785-6288 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

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About Kelly Macdonald Cpnp NPPES

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

KELLY MACDONALD CPNP (NPI 1053455030) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN204149) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053455030

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKELLY MACDONALDCredential: CPNP

Location Address1405 CLIFTON RD NEAtlanta, GA 30322-1060

Mailing Address1405 Clifton Rd NeAtlanta, GA 30322-1060 · (404) 785-1112 · Fax (404) 785-6288

Phone(404) 785-1112

Fax(404) 785-6288

Sole ProprietorNo

Enumeration DateFebruary 16, 2007

Last NPPES UpdateJune 6, 20222 updates tracked since enumeration

✔ NPI 1053455030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · RN204149

1405 CLIFTON RD NE, Atlanta, GA 30322

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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)

Kelly Macdonald Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30322 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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