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KELLY MACPHAUL PA-C
NPI 1588039143
Physician Assistant in Johns Creek, GA

Active since December 08, 2015
11459 JOHNS CREEK PKWY STE 250, JOHNS CREEK, GA 30097(770) 497-1555(770) 497-9998 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2021, Dec 8, 2015 (2 updates tracked since 2015).

About Kelly Macphaul Pa-c NPPES

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

KELLY MACPHAUL PA-C (NPI 1588039143) is an individual physician assistant in Johns Creek, Georgia, licensed in Georgia (7846) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1588039143
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MACPHAULCredential: PA-C
Location Address11459 JOHNS CREEK PKWY STE 250Johns Creek, GA 30097-3517
Mailing Address11459 Johns Creek Pkwy Ste 250Johns Creek, GA 30097-3517 · (770) 497-1555 · Fax (770) 497-9998
Phone(770) 497-1555
Fax(770) 497-9998
Sole ProprietorNo
Enumeration DateDecember 8, 2015
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1588039143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 7846
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11459 JOHNS CREEK PKWY STE 250, Johns Creek, GA 30097
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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.

MONIQUE JENNIFER STAGE FNP-BC
Nurse Practitioner (Family)
11459 JOHNS CREEK PKWY STE 250
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-1555
CHRISTIAN-JEVON BRAMWELL MD
Family Medicine
11459 JOHNS CREEK PKWY STE 250
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-1555
JENNIFER MICHELLE BASTECKI FNP-C
Nurse Practitioner (Family)
11459 JOHNS CREEK PKWY STE 250
DULUTH, GA 30097
Gwinnett County (770) 497-1555
AMELIA NOCON PA-C
Physician Assistant
11459 JOHNS CREEK PKWY STE 250
DULUTH, GA 30097
Gwinnett County (770) 497-1555
THOMAS MCGINN DO
Family Medicine
11459 JOHNS CREEK PKWY STE 250
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-1555
MRS. HANNA LEE PARK FNP-C
Nurse Practitioner (Family)
11459 JOHNS CREEK PKWY STE 250
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-1555

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 Macphaul's NPI number?

The NPI number for Kelly Macphaul is 1588039143. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Where is Kelly Macphaul located?

Kelly Macphaul practices at 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097. The listed phone number is (770) 497-1555.

What is Kelly Macphaul's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Macphaul was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.