MRS. KELLY VIRGA HARLESS FNP-C
NPI 1528768686
Nurse Practitioner - Family in Dacula, GA

Q: What is Kelly Harless's NPI number?

The NPI number for Kelly Harless is 1528768686. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Q: What is Kelly Harless's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Harless was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 07, 2023PECOS Enrolled

256 MCMILLAN RD, DACULA, GA 30019(678) 712-4184(770) 353-9819 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2024, May 17, 2023, May 3, 2023 and 1 more (4 updates tracked since 2023).

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About Mrs. Kelly Virga Harless Fnp-c NPPES

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

MRS. KELLY VIRGA HARLESS FNP-C (NPI 1528768686) is an individual family provider in Dacula, Georgia, licensed in Georgia (RN214516) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528768686

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KELLY VIRGA HARLESSCredential: FNP-C

Location Address256 MCMILLAN RDDacula, GA 30019-2337

Mailing Address256 Mcmillan RdDacula, GA 30019-2337 · (678) 712-4184 · Fax (770) 353-9819

Phone(678) 712-4184

Fax(770) 353-9819

Sole ProprietorNo

Enumeration DateMarch 7, 2023

Last NPPES UpdateJuly 2, 20244 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1528768686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in GA · RN214516✔ Licensed in GA · F10220788

Also ListedRegistered NurseTaxonomy 163W00000X · License RN214516 (GA)

256 MCMILLAN RD, Dacula, GA 30019

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Virga Harless Fnp-c 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services27 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30019 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.

Other Providers at the Same Location NPPES 6

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

WILLIAM DONALD ANDERSON JR. LCSW

Social Worker (Clinical)