KELLY PHILLIPS RN
NPI 1477345023
Registered Nurse - Gerontology in Valdosta, GA

Active since May 20, 2025
415 PENDLETON PL, VALDOSTA, GA 31602(229) 242-6868 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Phillips Rn NPPES

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

KELLY PHILLIPS RN (NPI 1477345023) is an individual gerontology provider in Valdosta, Georgia, licensed in Georgia (236257) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1477345023
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameKELLY PHILLIPSCredential: RN
Location Address415 PENDLETON PLValdosta, GA 31602-2632
Mailing Address415 Pendleton PlValdosta, GA 31602-2632 · (229) 242-6868
Sole ProprietorYes
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
NPI 1477345023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License Licensed in GA · 236257
415 PENDLETON PL, Valdosta, GA 31602

Other Names 1

Former Name (1)Kelly Vaught

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
415 PENDLETON PL
VALDOSTA, GA 31602
Skilled Nursing Facility
415 PENDLETON PL
VALDOSTA, GA 31602
Clinic/Center (Rehabilitation)
415 PENDLETON PL
VALDOSTA, GA 31602

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 Phillips's NPI number?

The NPI number for Kelly Phillips is 1477345023. It was assigned to this individual provider in the NPPES registry on May 20, 2025. The provider is also known as Kelly Vaught.

Where is Kelly Phillips located?

Kelly Phillips practices at 415 Pendleton Pl, Valdosta, GA 31602. The listed phone number is (229) 242-6868.

What is Kelly Phillips's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gerontology, with taxonomy code 163WG0600X.

When was this NPI record last updated?

The NPPES record for Kelly Phillips was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.