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JAMES BRIAN KELLY PA-C
NPI 1558337055
Physician Assistant - Medical in Marietta, GA

Active since February 24, 2006PECOS Enrolled
175 WHITE ST NW STE 200, MARIETTA, GA 30060(404) 255-1933(404) 256-7924 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

About James Brian Kelly Pa-c NPPES

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

JAMES BRIAN KELLY PA-C (NPI 1558337055) is an individual medical provider in Marietta, Georgia, licensed in Georgia (3936) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558337055
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJAMES BRIAN KELLYCredential: PA-C
Location Address175 WHITE ST NW STE 200Marietta, GA 30060-7901
Mailing Address175 White St Nw Ste 200Marietta, GA 30060-7901 · (404) 255-1933 · Fax (404) 256-7924
Phone(404) 255-1933
Fax(404) 256-7924
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
✔ NPI 1558337055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 3936
175 WHITE ST NW STE 200, Marietta, GA 30060
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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)

James Brian Kelly Pa-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.

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.

DR. JEFFREY CARL PENCE MD
Surgery (Pediatric Surgery)
175 WHITE ST NW STE 200
MARIETTA, GA 30060
Cobb County (943) 202-7820
DR. ARMAND MONSOUR SCURFIELD M.D.
Pediatrics (Sports Medicine)
175 WHITE ST NW STE 200
MARIETTA, GA 30060
Cobb County (404) 785-5437
MRS. HOLLY CHRISTINE SMITH RN, CPNP
Nurse Practitioner (Pediatrics)
175 WHITE ST NW STE 200
MARIETTA, GA 30060
Cobb County (770) 487-3330

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 James Kelly's NPI number?

The NPI number for James Kelly is 1558337055. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is James Kelly located?

James Kelly practices at 175 White St NW Ste 200, Marietta, GA 30060. The listed phone number is (404) 255-1933.

What is James Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is James Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for James Kelly was last updated on June 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.