KELLY KOTOWSKI
NPI 1083336994
Registered Nurse in Marietta, GA

Active since September 16, 2022PECOS EnrolledAccepts Medicare Assignment
400 TOWER RD NE, MARIETTA, GA 30060(770) 422-1372 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Sep 16, 2022 (2 updates tracked since 2022).

About Kelly Kotowski NPPES

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

KELLY KOTOWSKI (NPI 1083336994) is an individual registered nurse in Marietta, Georgia, licensed in Georgia (RN259635) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1083336994
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKELLY KOTOWSKI
Location Address400 TOWER RD NEMarietta, GA 30060-9411
Mailing Address677 Church St NeMarietta, GA 30060-1101 · (770) 793-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 16, 2022
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1083336994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in GA · RN259635
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
400 TOWER RD NE, Marietta, GA 30060

Secondary Practice Location 1

Location 1677 Church St NEMarietta, GA 30060-1101 · Phone (770) 793-5000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Kotowski is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961937669
PECOS Enrollment IDI20241118003441
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Critical Care Medicine)
400 TOWER RD NE, SUITE 200
MARIETTA, GA 30060
Physical Therapist
400 TOWER RD NE, STE 140
MARIETTA, GA 30060
Physical Therapist
400 TOWER RD NE
MARIETTA, GA 30060
Internal Medicine (Critical Care Medicine)
400 TOWER RD NE, SUITE 200
MARIETTA, GA 30060
Internal Medicine (Pulmonary Disease)
400 TOWER RD NE, SUITE 200
MARIETTA, GA 30060
Internal Medicine (Pulmonary Disease)
400 TOWER RD NE, SUITE 200
MARIETTA, GA 30060
Physician Assistant
400 TOWER RD NE, SUITE 200
MARIETTA, GA 30060
Pain Medicine (Interventional Pain Medicine)
400 TOWER RD NE, SUITE 350
MARIETTA, GA 30060

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 Kelly Kotowski's NPI number?

The NPI number for Kelly Kotowski is 1083336994. It was assigned to this individual provider in the NPPES registry on September 16, 2022.

Where is Kelly Kotowski located?

Kelly Kotowski practices at 400 Tower Rd NE, Marietta, GA 30060. The listed phone number is (770) 422-1372.

What is Kelly Kotowski's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Kelly Kotowski enrolled in Medicare?

Yes. Kelly Kotowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Kotowski accept?

Health plans from Alliant Health Plans, Inc. list Kelly Kotowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Kotowski affiliated with any hospitals?

According to CMS data, Kelly Kotowski is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Kotowski was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.