MRS. KELLY BROGDON WHITE MS, OTR/L
NPI 1639064025
Occupational Therapist in Johns Creek, GA
About Mrs. Kelly Brogdon White Ms, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY BROGDON WHITE MS, OTR/L (NPI 1639064025) is an individual occupational therapist in Johns Creek, Georgia, licensed in Georgia (OT003451) and active in the NPI registry since June 2025. She is a graduate of Tufts University School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kelly Brogdon White Ms, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelly White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johns Creek, GA 30022
- Reassigned Medicare billing, Georgia enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 White's NPI number?
The NPI number for Kelly White is 1639064025. It was assigned to this individual provider in the NPPES registry on June 9, 2025.
Where is Kelly White located?
Kelly White practices at 3005 Old Alabama Rd Bldg E, Johns Creek, GA 30022. The listed phone number is (770) 552-8852.
What is Kelly White's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kelly White enrolled in Medicare?
Yes. Kelly White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly White reassigns Medicare benefits to Body-N-Balance (Johns Creek, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly White was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.