MR. KELLY RAY ELLIOTT FNP
NPI 1497798532
Nurse Practitioner - Family in Chatsworth, GA

Active since June 14, 2006
2976 HIGHWAY 76, STE B&C, CHATSWORTH, GA 30705(706) 517-0656(706) 517-0651 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kelly Ray Elliott Fnp NPPES

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

MR. KELLY RAY ELLIOTT FNP (NPI 1497798532) is an individual family provider in Chatsworth, Georgia, licensed in Georgia (977575) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1497798532
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KELLY RAY ELLIOTTCredential: FNP
Location Address2976 HIGHWAY 76, STE B&CChatsworth, GA 30705-6981
Mailing Address2976 Highway 76, Ste B&cChatsworth, GA 30705-6981 · (706) 517-0656 · Fax (706) 517-0651
Fax(706) 517-0651
Sole ProprietorYes
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 11, 2009
NPI 1497798532 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 · 977575
2976 HIGHWAY 76, Chatsworth, GA 30705

Other Identifiers 1

Medicaid777482691GA

Other Providers at the Same Location NPPES 5

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

Health Maintenance Organization
2976 HIGHWAY 76, SUITE B & C
CHATSWORTH, GA 30705
Nurse Practitioner (Family)
2976 HIGHWAY 76
CHATSWORTH, GA 30705
Clinic/Center (Primary Care)
2976 HIGHWAY 76, STE B
CHATSWORTH, GA 30705
Nurse Practitioner (Family)
2976 HIGHWAY 76, SUITES B & C
CHATSWORTH, GA 30705
Nurse Practitioner (Family)
2976 HIGHWAY 76, STE B
CHATSWORTH, GA 30705

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 Elliott's NPI number?

The NPI number for Kelly Elliott is 1497798532. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Kelly Elliott located?

Kelly Elliott practices at 2976 Highway 76 Ste B&c, Chatsworth, GA 30705. The listed phone number is (706) 517-0656.

What is Kelly Elliott's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Elliott was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.