KELLY BROOKS MCGOWAN CPNP-AC
NPI 1275178915
Nurse Practitioner - Pediatrics, Critical Care in Atlanta, GA

Q: What is Kelly Mcgowan's NPI number?

The NPI number for Kelly Mcgowan is 1275178915. It was assigned to this individual provider in the NPPES registry on November 15, 2019.

Q: What is Kelly Mcgowan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mcgowan was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 15, 2019PECOS Enrolled

1405 CLIFTON RD NE FL 4, ATLANTA, GA 30322(703) 609-9148 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2024, Aug 30, 2022, Nov 15, 2019 (3 updates tracked since 2019).

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About Kelly Brooks Mcgowan Cpnp-ac NPPES

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

KELLY BROOKS MCGOWAN CPNP-AC (NPI 1275178915) is an individual pediatrics, critical care provider in Atlanta, Georgia, licensed in Georgia (RN285784) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275178915

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameKELLY BROOKS MCGOWANCredential: CPNP-AC

Location Address1405 CLIFTON RD NE FL 4Atlanta, GA 30322-4052

Mailing Address7570 Easton Valley LnCumming, GA 30028-8976 · (703) 609-9148

Phone(703) 609-9148

Sole ProprietorYes

Enumeration DateNovember 15, 2019

Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1275178915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in GA · RN285784

Also ListedRegistered NurseTaxonomy 163W00000X · License RN285784 (GA)

1405 CLIFTON RD NE FL 4, Atlanta, GA 30322

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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 Brooks Mcgowan Cpnp-ac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Other Providers at the Same Location NPPES 14

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

NORA COLMAN MD

Pediatrics (Pediatric Critical Care Medicine)