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KELLY ROSE PERONTI AGACNP-BC
NPI 1477098564
Nurse Practitioner - Acute Care in Peachtree City, GA

Active since December 27, 2016PECOS Enrolled
94.56/100
CMS Quality Rating
401 DOUBLETRACE LN, PEACHTREE CITY, GA 30269(770) 344-7821 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, Mar 16, 2017, Dec 27, 2016 (3 updates tracked since 2016).

About Kelly Rose Peronti Agacnp-bc NPPES

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

KELLY ROSE PERONTI AGACNP-BC (NPI 1477098564) is an individual acute care provider in Peachtree City, Georgia, licensed in Georgia (RN199128) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477098564
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLY ROSE PERONTICredential: AGACNP-BC
Location Address401 DOUBLETRACE LNPeachtree City, GA 30269-1822
Mailing Address80 Jesse Hill Jr Dr SeAtlanta, GA 30303-3031
Phone(770) 344-7821
Sole ProprietorYes
Enumeration DateDecember 27, 2016
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1477098564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN199128
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RN199128 (GA)
401 DOUBLETRACE LN, Peachtree City, GA 30269
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Claire Rose Rn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Rose Peronti Agacnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Peronti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Medical Care Foundation Inc
26 mi
Physical Medicine & Rehabilitation
80 JESSE HILL JR DR SE
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063678563 (404) 778-5014

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 30269 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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 Peronti's NPI number?

The NPI number for Kelly Peronti is 1477098564. It was assigned to this individual provider in the NPPES registry on December 27, 2016. The provider is also known as Kelly Claire Rose Rn.

Where is Kelly Peronti located?

Kelly Peronti practices at 401 Doubletrace Ln, Peachtree City, GA 30269. The listed phone number is (770) 344-7821.

What is Kelly Peronti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kelly Peronti enrolled in Medicare?

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

Which organization bills Medicare for Kelly Peronti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Peronti reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, 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 Peronti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Peronti was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.