DR. PHILLIP JUSTIN KELLY
NPI 1598535619
Student in an Organized Health Care Education/Training Program in Lithonia, GA

Q: What is Phillip Kelly's NPI number?

The NPI number for Phillip Kelly is 1598535619. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Q: What is Phillip Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Kelly was last updated on January 9, 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 January 09, 2024

8075 MALL PKWY STE 103, LITHONIA, GA 30038(770) 484-2955 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Phillip Justin Kelly NPPES

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

DR. PHILLIP JUSTIN KELLY (NPI 1598535619) is an individual student in an organized health care education/training program in Lithonia, Georgia and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1598535619

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. PHILLIP JUSTIN KELLY

Location Address8075 MALL PKWY STE 103Lithonia, GA 30038-6993

Mailing Address714 Summit North Dr NeAtlanta, GA 30324-3144

Phone(770) 484-2955

Sole ProprietorNo

Enumeration DateJanuary 9, 2024

NPPES CertifiedJanuary 9, 2024

✔ NPI 1598535619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8075 MALL PKWY STE 103, Lithonia, GA 30038

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Other Providers at the Same Location NPPES 2

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

AMERICA'S BEST CONTACTS & EYEGLASSES

Eyewear Supplier

8075 MALL PKWY STE 103, STONECREST PROMENADE
LITHONIA, GA 30038

Dekalb County (770) 484-2955

DR. TYLER WILLIAM ELLSWORTH OD

Optometrist

8075 MALL PKWY STE 103
LITHONIA, GA 30038

Dekalb County (770) 484-2955

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 Phillip Kelly's NPI number?

The NPI number for Phillip Kelly is 1598535619. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Phillip Kelly located?

Phillip Kelly practices at 8075 Mall Pkwy Ste 103, Lithonia, GA 30038. The listed phone number is (770) 484-2955.

What is Phillip Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Phillip Kelly was last updated on January 9, 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.