DR. KATELYN HORNBUCKLE CONLEY DMD
NPI 1407470511
Dentist - Oral and Maxillofacial Surgery in Roswell, GA

Q: What is Katelyn Conley's NPI number?

The NPI number for Katelyn Conley is 1407470511. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Q: What is Katelyn Conley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Conley was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 04, 2020PECOS EnrolledAccepts Medicare Assignment

10930 CRABAPPLE RD STE 160, ROSWELL, GA 30075(678) 781-0050 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2025, Jul 18, 2024, Jun 4, 2020 (3 updates tracked since 2020).

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About Dr. Katelyn Hornbuckle Conley Dmd NPPES

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

DR. KATELYN HORNBUCKLE CONLEY DMD (NPI 1407470511) is an individual oral and maxillofacial surgery provider in Roswell, Georgia, licensed in Georgia (DN123412) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407470511

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameDR. KATELYN HORNBUCKLE CONLEYCredential: DMD

Location Address10930 CRABAPPLE RD STE 160Roswell, GA 30075-7631

Mailing Address10930 Crabapple Rd Ste 160Roswell, GA 30075-7631

Phone(678) 781-0050

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 4, 2020

Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration

NPPES CertifiedMarch 13, 2025

✔ NPI 1407470511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in GA · DN123412

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

10930 CRABAPPLE RD STE 160, Roswell, GA 30075

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Katelyn Hornbuckle Conley Dmd 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 ID5294159455

PECOS Enrollment IDI20241206003270

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30075 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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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

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

DR. MOLLIE ANN WINSTON D.D.S.

Dentist (Oral and Maxillofacial Surgery)

10930 CRABAPPLE RD STE 160
ROSWELL, GA 30075

Fulton County (770) 934-1907

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 Katelyn Conley's NPI number?

The NPI number for Katelyn Conley is 1407470511. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Katelyn Conley located?

Katelyn Conley practices at 10930 Crabapple Rd Ste 160, Roswell, GA 30075. The listed phone number is (678) 781-0050.

What is Katelyn Conley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Katelyn Conley enrolled in Medicare?

Yes. Katelyn Conley 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.

What insurance does Katelyn Conley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Katelyn Conley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katelyn Conley affiliated with any hospitals?

According to CMS data, Katelyn Conley is affiliated with Northside Hospital Cherokee.

When was this NPI record last updated?

The NPPES record for Katelyn Conley was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.