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SCOTT ASBURY KELLERMEYER
NPI 1518072800
Radiology - Diagnostic Radiology in Gainesville, GA

Active since August 20, 2006
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 535-9391(770) 533-4701 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 6, 2019, Jan 15, 2018 (2 updates tracked since 2018).

About Scott Asbury Kellermeyer NPPES

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

SCOTT ASBURY KELLERMEYER (NPI 1518072800) is an individual diagnostic radiology provider in Gainesville, Georgia, licensed in Georgia (59803) and active in the NPI registry since August 2006. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1518072800
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSCOTT ASBURY KELLERMEYER
Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 533-6511 · Fax (770) 533-4786
Phone(770) 535-9391
Fax(770) 533-4701
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 6, 20192 updates tracked since enumeration
✔ NPI 1518072800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in GA · 59803✔ Licensed in VA · 0101223420
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
725 JESSE JEWELL PKWY SE, Gainesville, GA 30501
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Secondary Practice Locations 3

Location 1725 Jesse Jewell Pkwy SEGainesville, GA 30501 · Phone (770) 535-6511 · Fax (770) 535-9391
Location 21270 Friendship RdBraselton, GA 30517-5630 · Phone (770) 535-9391 · Fax (770) 533-4701
Location 3655 Jesse Jewell Pkwy SE Ste BGainesville, GA 30501-3854 · Phone (770) 535-9391 · Fax (770) 533-4701

Other Identifiers 3

OtherLICENSEVA · 0101223420
Medicaid007223676VA
Medicaid123832240GGA

Other Providers at the Same Location NPPES 20

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

THE LONGSTREET CLINIC, PC
Clinical Medical Laboratory
725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501
Hall County (770) 535-0079
EILEEN JAVELLANA MD
Internal Medicine
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4373
MRS. BRANDI NICHELLE MONROE PA
Physician Assistant (Surgical)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
MRS. JEANETTE SUSAN PIRKLE APRN, NP-C
Nurse Practitioner (Family)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 297-5700
COURTNEY L GRANT M.D.
Surgery (Vascular Surgery)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
MARY HANNAH READ MD
Surgery
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 533-6523
WESLEY AARON ZILA PA-C
Physician Assistant
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
NANCY ELLEN JOHNSON MD
Pediatrics
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 535-3611

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 Scott Kellermeyer's NPI number?

The NPI number for Scott Kellermeyer is 1518072800. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Scott Kellermeyer located?

Scott Kellermeyer practices at 725 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 535-9391.

What is Scott Kellermeyer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Scott Kellermeyer was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.