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MS. CASSANDRA TERRESA KELLY LPN
NPI 1376850719
Licensed Practical Nurse in Mcdonough, GA

Active since September 07, 2010
139 HENRY PKWY, MCDONOUGH, GA 30253(770) 898-7400(770) 898-7412 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Cassandra Terresa Kelly Lpn NPPES

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

MS. CASSANDRA TERRESA KELLY LPN (NPI 1376850719) is an individual licensed practical nurse in Mcdonough, Georgia, licensed in Georgia (LPN081087) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1376850719
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. CASSANDRA TERRESA KELLYCredential: LPN
Location Address139 HENRY PKWYMcdonough, GA 30253-6636
Mailing Address139 Henry PkwyMcdonough, GA 30253-6636 · (770) 898-7400 · Fax (770) 898-7412
Phone(770) 898-7400
Fax(770) 898-7412
Sole ProprietorNo
Enumeration DateSeptember 7, 2010
Last NPPES UpdateSeptember 16, 2010
✔ NPI 1376850719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN081087
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
139 HENRY PKWY, Mcdonough, GA 30253
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Other Names 1

Other Name (5)Mrs. Cassandra Terresa Beach

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.

BENNECIA GILBERT CRC, NCC, LPC
Counselor (Professional)
139 HENRY PKWY
MCDONOUGH, GA 30253
Henry County (770) 358-5252
MS. KATHERINE LEIGH KEY R.N.
Registered Nurse (Psychiatric/Mental Health)
139 HENRY PKWY
MCDONOUGH, GA 30253
Henry County (770) 898-7400
MRS. PENNY ATKINS BURNETT LPC
Counselor (Professional)
139 HENRY PKWY
MCDONOUGH, GA 30253
Henry County (770) 898-7400
MS. CERETHA THOMAS ARNP
Nurse Practitioner (Psychiatric/Mental Health)
139 HENRY PKWY
MCDONOUGH, GA 30253
Henry County (770) 358-5252
JOHN T COOKE LPC
Counselor (Professional)
139 HENRY PKWY
MCDONOUGH, GA 30253
Henry County (770) 898-7400
MRS. TANYA KIMBROUGH BROOKS R.N.
Registered Nurse
139 HENRY PKWY
MCDONOUGH, GA 30253
Henry County (770) 898-7423
LATISHIA KING LPN
Licensed Practical Nurse
139 HENRY PKWY
MCDONOUGH, GA 30253
Henry County (770) 358-5252
MCINTOSH TRAIL CSB
Community/Behavioral Health
139 HENRY PKWY
MCDONOUGH, GA 30253
Henry County (770) 389-7816

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 Cassandra Kelly's NPI number?

The NPI number for Cassandra Kelly is 1376850719. It was assigned to this individual provider in the NPPES registry on September 7, 2010. The provider is also known as Mrs. Cassandra Terresa Beach.

Where is Cassandra Kelly located?

Cassandra Kelly practices at 139 Henry Pkwy, Mcdonough, GA 30253. The listed phone number is (770) 898-7400.

What is Cassandra Kelly's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Cassandra Kelly was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.