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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Choa Hospital Based, LLC
2.9 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 clinicians in this Medicare group
NPI 1457695488 (404) 785-6000

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 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)
1405 CLIFTON RD NE FL 4
ATLANTA, GA 30322
Dekalb County (404) 785-1600
LISA LIMA MD
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE FL 4
ATLANTA, GA 30322
Dekalb County (404) 785-2311
JOCELYN REBECCA GRUNWELL MD, PHD
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE FL 4
ATLANTA, GA 30322
Dekalb County (404) 785-2311
NGA PHAM MD
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE FL 4
ATLANTA, GA 30322
Dekalb County (404) 785-1600
KIMBERLY KOLLEDA CPNP
Nurse Practitioner (Pediatrics, Critical Care)
1405 CLIFTON RD NE FL 4
ATLANTA, GA 30322
Dekalb County (404) 785-2311
RAJIT BASU MD
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE FL 4
ATLANTA, GA 30322
Dekalb County (404) 785-2311
SONJA KELLY GREENFIELD CPNP-PC/AC
Nurse Practitioner (Pediatrics, Critical Care)
1405 CLIFTON RD NE FL 4
ATLANTA, GA 30322
Dekalb County (404) 785-2311
JANA STOCKWELL MD
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE FL 4
ATLANTA, GA 30322
Dekalb County (404) 785-2311

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 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.

Where is Kelly Mcgowan located?

Kelly Mcgowan practices at 1405 Clifton Rd NE Fl 4, Atlanta, GA 30322. The listed phone number is (703) 609-9148.

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.

Is Kelly Mcgowan enrolled in Medicare?

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

Which organization bills Medicare for Kelly Mcgowan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mcgowan reassigns Medicare benefits to Choa Hospital Based, LLC (Brookhaven, 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 Kelly Mcgowan'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 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.