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DR. BENJAMIN J KELLY M.D.
NPI 1073599833
Specialist in Woodstock, GA

Active since December 22, 2005
100 STONEFOREST DR STE 320, WOODSTOCK, GA 30189(770) 516-5199(678) 213-1851 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Benjamin J Kelly M.d. NPPES

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

DR. BENJAMIN J KELLY M.D. (NPI 1073599833) is an individual specialist in Woodstock, Georgia, licensed in Georgia (48120) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1073599833
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. BENJAMIN J KELLYCredential: M.D.
Location Address100 STONEFOREST DR STE 320Woodstock, GA 30189-4881
Mailing Address100 Stoneforest Dr 320Woodstock, GA 30189-4881 · (770) 516-5199 · Fax (678) 213-1851
Phone(770) 516-5199
Fax(678) 213-1851
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateOctober 15, 2015
✔ NPI 1073599833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 48120
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

100 STONEFOREST DR STE 320, Woodstock, GA 30189
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Other Identifiers 2

Medicare ID-Type Unspecified07BBSPVGA
Medicare UPINH59484GA

Other Providers at the Same Location NPPES 5

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

KATIE BODYCOMB COVINGTON PA
Physician Assistant (Medical)
100 STONEFOREST DR STE 320
WOODSTOCK, GA 30189
Cherokee County (770) 516-5199
ATLANTA NORTH DERMATOLOGY & SKIN CARE, INC.
Dermatology
100 STONEFOREST DR STE 320
WOODSTOCK, GA 30189
Cherokee County (770) 516-5199
DORA MCIVER BROOM PA-C
Physician Assistant
100 STONEFOREST DR STE 320
WOODSTOCK, GA 30189
Cherokee County (770) 516-5199
KERI ANNE DENEISE SCOTT PA-C
Physician Assistant
100 STONEFOREST DR STE 320
WOODSTOCK, GA 30189
Cherokee County (770) 516-5199
DR. CATHER MARIE CALA MCKAY MD
Dermatology
100 STONEFOREST DR STE 320
WOODSTOCK, GA 30189
Cherokee County (770) 516-5199

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 Benjamin Kelly's NPI number?

The NPI number for Benjamin Kelly is 1073599833. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Benjamin Kelly located?

Benjamin Kelly practices at 100 Stoneforest Dr Ste 320, Woodstock, GA 30189. The listed phone number is (770) 516-5199.

What is Benjamin Kelly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Benjamin Kelly was last updated on October 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.