KELLY STOCKDALE LPC
NPI 1265169742
Counselor - Professional in Flowery Branch, GA

Active since August 04, 2022PECOS EnrolledAccepts Medicare Assignment
4331 THURMON TANNER RD, FLOWERY BRANCH, GA 30542(678) 513-5700 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Stockdale Lpc NPPES

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

KELLY STOCKDALE LPC (NPI 1265169742) is an individual professional provider in Flowery Branch, Georgia, licensed in Georgia (LPC013004) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265169742
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY STOCKDALECredential: LPC
Location Address4331 THURMON TANNER RDFlowery Branch, GA 30542-2829
Mailing Address231 Coosawattee Ave SwRome, GA 30165-3508 · (470) 377-0064
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
NPI 1265169742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC013004
4331 THURMON TANNER RD, Flowery Branch, GA 30542

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Stockdale Lpc 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.

PECOS PAC ID5294186599
PECOS Enrollment IDI20240111001545
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.

Psychiatry & Neurology (Psychiatry)
4331 THURMON TANNER RD
FLOWERY BRANCH, GA 30542
Counselor (Professional)
4331 THURMON TANNER RD
FLOWERY BRANCH, GA 30542
Counselor (Professional)
4331 THURMON TANNER RD
FLOWERY BRANCH, GA 30542
Community/Behavioral Health
4331 THURMON TANNER RD
FLOWERY BRANCH, GA 30542
Day Training, Developmentally Disabled Services
4331 THURMON TANNER RD
FLOWERY BRANCH, GA 30542
Social Worker (Clinical)
4331 THURMON TANNER RD
FLOWERY BRANCH, GA 30542
Counselor (Professional)
4331 THURMON TANNER RD
FLOWERY BRANCH, GA 30542
Community/Behavioral Health
4331 THURMON TANNER RD
FLOWERY BRANCH, GA 30542

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 Stockdale's NPI number?

The NPI number for Kelly Stockdale is 1265169742. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Kelly Stockdale located?

Kelly Stockdale practices at 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542. The listed phone number is (678) 513-5700.

What is Kelly Stockdale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Stockdale enrolled in Medicare?

Yes. Kelly Stockdale 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.

When was this NPI record last updated?

The NPPES record for Kelly Stockdale was last updated on August 4, 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.