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NICHOLAS KELLY MD
NPI 1083876890
Pediatrics in Canton, GA

Active since July 02, 2008
1558 RIVERSTONE PKWY STE 100, CANTON, GA 30114(404) 785-5437(404) 785-4683 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Nicholas Kelly Md NPPES

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

NICHOLAS KELLY MD (NPI 1083876890) is an individual pediatrics provider in Canton, Georgia, licensed in Georgia (73648) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1083876890
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameNICHOLAS KELLYCredential: MD
Location Address1558 RIVERSTONE PKWY STE 100Canton, GA 30114-2888
Mailing Address1558 Riverstone Pkwy Ste 100Canton, GA 30114-2888 · (404) 785-5437 · Fax (404) 785-4683
Phone(404) 785-5437
Fax(404) 785-4683
Sole ProprietorNo
Enumeration DateJuly 2, 2008
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
✔ NPI 1083876890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 73648
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1558 RIVERSTONE PKWY STE 100, Canton, GA 30114
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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.

ANTHONY DAVID WAHBEH MD
Pediatrics
1558 RIVERSTONE PKWY STE 100
CANTON, GA 30114
Cherokee County (404) 785-5437
DR. CHRISTINA LYNN HERNANDEZ M.D.
Pediatrics
1558 RIVERSTONE PKWY STE 100
CANTON, GA 30114
Cherokee County (404) 785-5437
KAREN LYNN HATHAWAY MD
Pediatrics
1558 RIVERSTONE PKWY STE 100
CANTON, GA 30114
Cherokee County (404) 785-5437
NGUYET TYLER CPNP
Nurse Practitioner
1558 RIVERSTONE PKWY STE 100
CANTON, GA 30114
Cherokee County (404) 785-5437
AIDA ORDOUBADI DO
Pediatrics
1558 RIVERSTONE PKWY STE 100
CANTON, GA 30114
Cherokee County (404) 785-5437

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 Nicholas Kelly's NPI number?

The NPI number for Nicholas Kelly is 1083876890. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Nicholas Kelly located?

Nicholas Kelly practices at 1558 Riverstone Pkwy Ste 100, Canton, GA 30114. The listed phone number is (404) 785-5437.

What is Nicholas Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Nicholas Kelly was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.