KELLY MCCOLLUM PENDLETON FNP-C
NPI 1437966108
Nurse Practitioner - Family in Columbus, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Mccollum Pendleton Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Pendleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Kelly Pendleton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pendleton reassigns Medicare benefits to Mercymed Of Columbus Inc (Columbus, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Pendleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 22 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.
# Kelly Mccollum Pendleton, FNP-C · NPI 1437966108
Family physician in Columbus, Georgia. Individual provider, active in the CMS NPPES registry since December 16, 2024.
## Identity
- **NPI:** 1437966108 (Entity type: Individual)
- **Enumerated:** December 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN191030 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3702 2ND AVE, Columbus, GA 31904-7408
- **Phone:** (706) 507-9209
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercymed Of Columbus Inc (NPI 1639450877, Columbus, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1437966108) · Data from the CMS NPPES public registry.