KELSEY ANN CLEGG PA-C
NPI 1407435068
Physician Assistant in Evans, GA

Active since April 02, 2021PECOS Enrolled
4244 WASHINGTON RD, EVANS, GA 30809(706) 760-7607 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Ann Clegg Pa-c NPPES

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

KELSEY ANN CLEGG PA-C (NPI 1407435068) is an individual physician assistant in Evans, Georgia, licensed in Georgia (10028) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407435068
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY ANN CLEGGCredential: PA-C
Location Address4244 WASHINGTON RDEvans, GA 30809-3087
Mailing Address1141 Elias StaThomson, GA 30824-4172 · (678) 577-9920
Sole ProprietorNo
Enumeration DateApril 2, 2021
NPPES CertifiedApril 2, 2021
NPI 1407435068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 10028
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4244 WASHINGTON RD, Evans, GA 30809

Other Names 1

Former Name (1)Kelsey Ann Newport Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelsey Ann Clegg Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30809 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 6

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

Nurse Practitioner (Family)
4244 WASHINGTON RD
EVANS, GA 30809
Physician Assistant
4244 WASHINGTON RD
EVANS, GA 30809
General Practice
4244 WASHINGTON RD
EVANS, GA 30809
Clinic/Center (Urgent Care)
4244 WASHINGTON RD
EVANS, GA 30809
Physician Assistant
4244 WASHINGTON RD
EVANS, GA 30809
Physician Assistant
4244 WASHINGTON RD
EVANS, GA 30809

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 Kelsey Clegg's NPI number?

The NPI number for Kelsey Clegg is 1407435068. It was assigned to this individual provider in the NPPES registry on April 2, 2021. The provider is also known as Kelsey Ann Newport Pa-C.

Where is Kelsey Clegg located?

Kelsey Clegg practices at 4244 Washington Rd, Evans, GA 30809. The listed phone number is (706) 760-7607.

What is Kelsey Clegg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsey Clegg enrolled in Medicare?

Yes. Kelsey Clegg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Clegg was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.