KELLY QUIANA TALBERT THAGGARD FNP-BC
NPI 1063124634
Nurse Practitioner - Family in Douglasville, GA

Q: What is Kelly Talbert Thaggard's NPI number?

The NPI number for Kelly Talbert Thaggard is 1063124634. It was assigned to this individual provider in the NPPES registry on December 15, 2022.

Q: What is Kelly Talbert Thaggard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 15, 2022PECOS Enrolled

3872 HIGHWAY 5, DOUGLASVILLE, GA 30135(770) 949-5535(770) 949-9022 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Dec 15, 2022 (2 updates tracked since 2022).

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About Kelly Quiana Talbert Thaggard Fnp-bc NPPES

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

KELLY QUIANA TALBERT THAGGARD FNP-BC (NPI 1063124634) is an individual family provider in Douglasville, Georgia, licensed in Georgia (RN256952) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063124634

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY QUIANA TALBERT THAGGARDCredential: FNP-BC

Location Address3872 HIGHWAY 5Douglasville, GA 30135-3366

Mailing Address3872 Highway 5Douglasville, GA 30135-3366 · (770) 949-5535 · Fax (770) 949-9022

Phone(770) 949-5535

Fax(770) 949-9022

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 15, 2022

Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1063124634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN256952

3872 HIGHWAY 5, Douglasville, GA 30135

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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 Quiana Talbert Thaggard Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698207710

PECOS Enrollment IDI20250626001281

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 30135 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.

Other Providers at the Same Location NPPES 7

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

DOUGLAS COUNTY FAMILY PRACTICE, P.C.

Clinic/Center (Primary Care)