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MRS. KELLEY C SHAW C.P.N.P.
NPI 1356618912
Nurse Practitioner in Alpharetta, GA

Active since November 28, 2011
3400A OLD MILTON PKWY STE 330, ALPHARETTA, GA 30005(770) 751-6111(770) 772-6099 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelley C Shaw C.p.n.p. NPPES

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

MRS. KELLEY C SHAW C.P.N.P. (NPI 1356618912) is an individual nurse practitioner in Alpharetta, Georgia, licensed in Georgia (RN171700) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1356618912
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KELLEY C SHAWCredential: C.P.N.P.
Location Address3400A OLD MILTON PKWY STE 330Alpharetta, GA 30005-4438
Mailing Address3400a Old Milton Pkwy Ste 330Alpharetta, GA 30005-4438 · (770) 751-6111 · Fax (770) 772-6099
Phone(770) 751-6111
Fax(770) 772-6099
Sole ProprietorNo
Enumeration DateNovember 28, 2011
✔ NPI 1356618912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN171700
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3400A OLD MILTON PKWY STE 330, Alpharetta, GA 30005
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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 Kelley Shaw's NPI number?

The NPI number for Kelley Shaw is 1356618912. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Kelley Shaw located?

Kelley Shaw practices at 3400A Old Milton Pkwy Ste 330, Alpharetta, GA 30005. The listed phone number is (770) 751-6111.

What is Kelley Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelley Shaw was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.