Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY DANIEL MS
NPI 1225715394
Psychologist - Clinical Child & Adolescent in Augusta, GA

Q: What is Kelly Daniel's NPI number?

The NPI number for Kelly Daniel is 1225715394. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Q: What is Kelly Daniel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Daniel was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since June 30, 2023PECOS Enrolled

997 SAINT SEBASTIAN WAY, AUGUSTA, GA 30912(706) 721-6597 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kelly Daniel Ms NPPES

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

KELLY DANIEL MS (NPI 1225715394) is an individual clinical child & adolescent provider in Augusta, Georgia, licensed in Georgia (PSY900378) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1225715394

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameKELLY DANIELCredential: MS

Location Address997 SAINT SEBASTIAN WAYAugusta, GA 30912-2613

Mailing Address1120 15th StAugusta, GA 30912-0004 · (706) 721-6597

Phone(706) 721-6597

Sole ProprietorNo

Enumeration DateJune 30, 2023

Last NPPES UpdateAugust 17, 2026

NPPES CertifiedAugust 17, 2026

✔ NPI 1225715394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in GA · PSY900378

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

997 SAINT SEBASTIAN WAY, Augusta, GA 30912

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Secondary Practice Location 1

Location 11043 Jack Vest DriveJohnson City, TN 37614 · Phone (423) 439-4044

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Daniel Ms 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.

Other Providers at the Same Location NPPES 20

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

MEENAKUMARI MANOHARAN

Psychiatry & Neurology (Addiction Medicine)

997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912

Richmond County (706) 721-6597

DR. RUTH OSONDU M.D

Student in an Organized Health Care Education/Training Program

997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912

Richmond County (478) 287-5269

JASON HENLE PHD

Psychologist (Clinical)

997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912

Richmond County (706) 721-6597

SADIAT ABIADE IBRAHIM MD

Student in an Organized Health Care Education/Training Program

997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912

Richmond County (706) 721-6719

DR. ERIN VANESSA SPEARMAN M.D.

Psychiatry & Neurology (Psychiatry)

997 SAINT SEBASTIAN WAY, EG-3027
AUGUSTA, GA 30912

Richmond County (706) 721-6597

TEVFIK KALELIOGLU MD

Internal Medicine (Addiction Medicine)

997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912

Richmond County (762) 375-7874

DR. RYAN SHULER D.O.

Psychiatry & Neurology (Psychiatry)

997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912

Richmond County (706) 721-3813

DR. RICHARD F. CAMINO GAZTAMBIDE M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

997 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912

Richmond County (706) 721-6597

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 Daniel's NPI number?

The NPI number for Kelly Daniel is 1225715394. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Kelly Daniel located?

Kelly Daniel practices at 997 Saint Sebastian Way, Augusta, GA 30912. The listed phone number is (706) 721-6597.

What is Kelly Daniel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Kelly Daniel enrolled in Medicare?

Yes. Kelly Daniel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Daniel was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.