KELLY MCCOLLUM PENDLETON FNP-C
NPI 1437966108
Nurse Practitioner - Family in Columbus, GA

Active since December 16, 2024PECOS Enrolled
3702 2ND AVE, COLUMBUS, GA 31904(706) 507-9209 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Mccollum Pendleton Fnp-c NPPES

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

KELLY MCCOLLUM PENDLETON FNP-C (NPI 1437966108) is an individual family provider in Columbus, Georgia, licensed in Georgia (RN191030) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437966108
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MCCOLLUM PENDLETONCredential: FNP-C
Location Address3702 2ND AVEColumbus, GA 31904-7408
Mailing Address33 Grizzly CtFortson, GA 31808-4556 · (706) 577-8606
Sole ProprietorNo
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
NPI 1437966108 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 · RN191030
3702 2ND AVE, Columbus, GA 31904

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Mccollum Pendleton Fnp-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 31904 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 14

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

Nurse Practitioner (Family)
3702 2ND AVE
COLUMBUS, GA 31904
Dentist
3702 2ND AVE
COLUMBUS, GA 31904
Counselor (Mental Health)
3702 2ND AVE
COLUMBUS, GA 31904
Pediatrics
3702 2ND AVE
COLUMBUS, GA 31904
Physician Assistant
3702 2ND AVE
COLUMBUS, GA 31904
Physician Assistant (Medical)
3702 2ND AVE
COLUMBUS, GA 31904
Physician Assistant
3702 2ND AVE
COLUMBUS, GA 31904
Physician Assistant
3702 2ND AVE
COLUMBUS, GA 31904

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 Kelly Pendleton's NPI number?

The NPI number for Kelly Pendleton is 1437966108. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Kelly Pendleton located?

Kelly Pendleton practices at 3702 2nd Ave, Columbus, GA 31904. The listed phone number is (706) 507-9209.

What is Kelly Pendleton's specialty?

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

Is Kelly Pendleton enrolled in Medicare?

Yes. Kelly Pendleton is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Pendleton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelly Pendleton 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.

When was this NPI record last updated?

The NPPES record for Kelly Pendleton was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.