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KISHA ADDERLEY FNP
NPI 1174921175
Nurse Practitioner - Family in Conyers, GA

Active since December 08, 2014
1775 PARKER RD SE, STE C-240, CONYERS, GA 30094(678) 609-6282(678) 609-6283 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kisha Adderley Fnp NPPES

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

KISHA ADDERLEY FNP (NPI 1174921175) is an individual family provider in Conyers, Georgia, licensed in Georgia (RN185219) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1174921175
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKISHA ADDERLEYCredential: FNP
Location Address1775 PARKER RD SE, STE C-240Conyers, GA 30094-6654
Mailing AddressPo Box 116202Atlanta, GA 30368-6202 · (678) 609-6282 · Fax (678) 609-6283
Phone(678) 609-6282
Fax(678) 609-6283
Sole ProprietorNo
Enumeration DateDecember 8, 2014
✔ NPI 1174921175 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 · RN185219
1775 PARKER RD SE, Conyers, GA 30094
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Other Providers at the Same Location NPPES 6

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

ROCKDALE PHYSICIAN PRACTICES LLC
Family Medicine
1775 PARKER RD SE, SUITE C240
CONYERS, GA 30094
Rockdale County (678) 609-6282
EASY GO MOBILE LAB SERVICE LLC
Technician, Pathology (Phlebotomy)
1775 PARKER RD SE
CONYERS, GA 30094
Rockdale County (706) 438-4747
GEORGIA MIND CENTER LLC
Social Worker (Clinical)
1775 PARKER RD SE, BUILDING C, SUITE 210
CONYERS, GA 30094
Rockdale County (678) 559-1943
REFLECTIONS THERAPEUTIC SERVICES, LLC
Counselor (Professional)
1775 PARKER RD SE
CONYERS, GA 30094
Rockdale County (888) 340-3686
MS. ELIZABETH ANN MCELMURRY PA-C
Physician Assistant
1775 PARKER RD SE
CONYERS, GA 30094
Rockdale County (678) 609-6282
LATISHA WOODS
Counselor (Mental Health)
1775 PARKER RD SE, BLDG C, SUITE 210
CONYERS, GA 30094
Rockdale County (678) 487-3781

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 Kisha Adderley's NPI number?

The NPI number for Kisha Adderley is 1174921175. It was assigned to this individual provider in the NPPES registry on December 8, 2014.

Where is Kisha Adderley located?

Kisha Adderley practices at 1775 Parker Rd SE Ste C-240, Conyers, GA 30094. The listed phone number is (678) 609-6282.

What is Kisha Adderley's specialty?

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

When was this NPI record last updated?

The NPPES record for Kisha Adderley was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.