MICHELE POOLE KELLY CNM
NPI 1346596921
Advanced Practice Midwife in Gainesville, GA

Active since August 01, 2012PECOS EnrolledAccepts Medicare Assignment
1439 JESSE JEWELL PKWY NE STE 102, GAINESVILLE, GA 30501(770) 219-9445 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2023, Nov 13, 2020 (2 updates tracked since 2020).

About Michele Poole Kelly Cnm NPPES

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

MICHELE POOLE KELLY CNM (NPI 1346596921) is an individual advanced practice midwife in Gainesville, Georgia, licensed in Georgia (RN093663) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1995).

NPPES Registry Identity

NPI1346596921
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMICHELE POOLE KELLYCredential: CNM
Location Address1439 JESSE JEWELL PKWY NE STE 102Gainesville, GA 30501-3806
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1995
Enumeration DateAugust 1, 2012
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1346596921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in GA · RN093663
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1439 JESSE JEWELL PKWY NE STE 102, Gainesville, GA 30501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michele Poole Kelly Cnm 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 ID6406803535
PECOS Enrollment IDI20050331001172
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 Michele Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group

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 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 20

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

Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
General Practice
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Family Medicine
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501

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 Michele Kelly's NPI number?

The NPI number for Michele Kelly is 1346596921. It was assigned to this individual provider in the NPPES registry on August 1, 2012.

Where is Michele Kelly located?

Michele Kelly practices at 1439 Jesse Jewell Pkwy NE Ste 102, Gainesville, GA 30501. The listed phone number is (770) 219-9445.

What is Michele Kelly's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Michele Kelly enrolled in Medicare?

Yes. Michele Kelly 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.

Which organization bills Medicare for Michele Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Kelly reassigns Medicare benefits to Northeast Georgia Physicians Group Inc (Gainesville, 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 Michele Kelly'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 Michele Kelly was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.