MRS. KELLY MARIE MCDOWELL
NPI 1174877195
Nurse Practitioner - Family in Mcdonough, GA
About Mrs. Kelly Marie Mcdowell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY MARIE MCDOWELL (NPI 1174877195) is an individual family provider in Mcdonough, Georgia, licensed in Georgia (RN154424) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kelly Marie Mcdowell 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Mcdowell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conyers, GA 30012
- Reassigned Medicare billing, Georgia enrollment
- 81 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30252 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCDONOUGH, GA 30252
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 Mcdowell's NPI number?
The NPI number for Kelly Mcdowell is 1174877195. It was assigned to this individual provider in the NPPES registry on October 29, 2012.
Where is Kelly Mcdowell located?
Kelly Mcdowell practices at 1227 Persimmon Way, Mcdonough, GA 30252. The listed phone number is (678) 315-5766.
What is Kelly Mcdowell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Mcdowell enrolled in Medicare?
Yes. Kelly Mcdowell 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.
Which organizations bill Medicare for Kelly Mcdowell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mcdowell reassigns Medicare benefits to 2 organizations: The Interventional Spine And Pain Management Center, PC (Conyers, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Mcdowell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Mcdowell was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Kelly Marie Mcdowell · NPI 1174877195
Family physician in Mcdonough, Georgia. Individual provider, active in the CMS NPPES registry since October 29, 2012.
## Identity
- **NPI:** 1174877195 (Entity type: Individual)
- **Enumerated:** October 29, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN154424 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1227 PERSIMMON WAY, Mcdonough, GA 30252-8438
- **Phone:** (678) 315-5766
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Interventional Spine And Pain Management Center, PC (NPI 1518012004, Conyers, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 18, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1174877195) · Data from the CMS NPPES public registry.