CALYN KELLY FNP-C
NPI 1396630794
Nurse Practitioner - Family in Conyers, GA

Q: What is Calyn Kelly's NPI number?

The NPI number for Calyn Kelly is 1396630794. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Q: What is Calyn Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Calyn Kelly was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 09, 2025PECOS Enrolled

2035 FLAT SHOALS RD SE, CONYERS, GA 30013(770) 992-1778 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Calyn Kelly Fnp-c NPPES

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

CALYN KELLY FNP-C (NPI 1396630794) is an individual family provider in Conyers, Georgia, licensed in Georgia (RN268631) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396630794

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCALYN KELLYCredential: FNP-C

Location Address2035 FLAT SHOALS RD SEConyers, GA 30013-1809

Mailing Address2609 Bloom CirTucker, GA 30084-3313 · (404) 797-3859

Phone(770) 992-1778

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 9, 2025

NPPES CertifiedJune 9, 2025

✔ NPI 1396630794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN268631

2035 FLAT SHOALS RD SE, Conyers, GA 30013

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Calyn Kelly Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800370123

PECOS Enrollment IDI20260324003192

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30013 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 6

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

MS. KIREN TUSHAR NP

Nurse Practitioner (Family)