1. Home
  2. Directory
  3. Georgia
  4. Tifton
  5. Nurse Practitioner
  6. NPI Profile

KELLEY H PLANT NP
NPI 1205114865
Nurse Practitioner in Tifton, GA

Active since August 01, 2011PECOS Enrolled
39 KENT RD STE 8, TIFTON, GA 31794(229) 391-2910(229) 238-0953 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2025, Jul 2, 2019 (2 updates tracked since 2019).

About Kelley H Plant Np NPPES

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

KELLEY H PLANT NP (NPI 1205114865) is an individual nurse practitioner in Tifton, Georgia, licensed in Georgia (APRN-NP135055) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205114865
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLEY H PLANTCredential: NP
Location Address39 KENT RD STE 8Tifton, GA 31794-1697
Mailing AddressPo Box 7083Tifton, GA 31793-7083 · (229) 391-2910
Phone(229) 391-2910
Fax(229) 238-0953
Sole ProprietorNo
Enumeration DateAugust 1, 2011
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1205114865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · APRN-NP135055
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN-NP135055 (GA)
39 KENT RD STE 8, Tifton, GA 31794
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley H Plant Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelley Plant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoebe Dorminy Family Care
21 mi
Clinic/Center
110 NORMAN DORMINY DR
Fitzgerald, GA 31750
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1992084644 (229) 312-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%105 patients4/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
46%41 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%41 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%41 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%41 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. PATRICK GLENN GOODMAN MD
Pain Medicine (Pain Medicine)
39 KENT RD STE 8
TIFTON, GA 31794
Tift County (229) 391-2910
SANDRA ANN ADCOCK FNP-BC
Nurse Practitioner (Family)
39 KENT RD STE 8
TIFTON, GA 31794
Tift County (229) 391-2910
CENTERS FOR PAIN MANAGEMENT OF GEORGIA LLC
Pain Medicine (Interventional Pain Medicine)
39 KENT RD STE 8
TIFTON, GA 31794
Tift County (229) 391-2910

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 Kelley Plant's NPI number?

The NPI number for Kelley Plant is 1205114865. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Kelley Plant located?

Kelley Plant practices at 39 Kent Rd Ste 8, Tifton, GA 31794. The listed phone number is (229) 391-2910.

What is Kelley Plant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelley Plant enrolled in Medicare?

Yes. Kelley Plant is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelley Plant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Plant reassigns Medicare benefits to Phoebe Dorminy Family Care (Fitzgerald, GA). The 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 Kelley Plant'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 Kelley Plant was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.