SD KELLY LLC
NPI 1285448928
Psychologist in Athens, GA
About Sd Kelly Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SD KELLY LLC (NPI 1285448928) is a healthcare organization registered as a psychologist in Athens, Georgia and active in the NPI registry since February 2025. The organization lists Shannon Kelly, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sd Kelly Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sd Kelly LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sd Kelly LLC's NPI number?
The NPI number for Sd Kelly LLC is 1285448928. It was assigned to this organization in the NPPES registry on February 4, 2025.
Where is Sd Kelly LLC located?
Sd Kelly LLC is located at 1150 S Milledge Ave Ste 4, Athens, GA 30605. The listed phone number is (706) 389-0974.
What is Sd Kelly LLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Sd Kelly LLC enrolled in Medicare?
Yes. Sd Kelly LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sd Kelly LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Sd Kelly LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sd Kelly LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.