KELLY BOARD APRN, NP-C
NPI 1649719915
Nurse Practitioner - Adult Health in Atlanta, GA

Q: What is Kelly Board's NPI number?

The NPI number for Kelly Board is 1649719915. It was assigned to this individual provider in the NPPES registry on February 19, 2017. The provider is also known as Kelly Gilliam.

Q: What is Kelly Board's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Board was last updated on November 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 19, 2017PECOS Enrolled

1055 HOWELL MILL RD NW, ATLANTA, GA 30318(866) 849-0692(888) 973-8821 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 28, 2025, Nov 7, 2025, May 12, 2025 and 10 more (13 updates tracked since 2017).

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About Kelly Board Aprn, Np-c NPPES

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

KELLY BOARD APRN, NP-C (NPI 1649719915) is an individual adult health provider in Atlanta, Georgia, licensed in Michigan (4704272053) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649719915

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLY BOARDCredential: APRN, NP-C

Location Address1055 HOWELL MILL RD NWAtlanta, GA 30318-5557

Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692 · Fax (888) 973-8821

Phone(866) 849-0692

Fax(888) 973-8821

Sole ProprietorNo

Enumeration DateFebruary 19, 2017

Last NPPES UpdateNovember 28, 202513 updates tracked since enumeration

NPPES CertifiedNovember 28, 2025

✔ NPI 1649719915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in MI · 4704272053✔ Licensed in IL · 209028496✔ Licensed in CO · CAPN.0101629✔ Licensed in AZ · 303204✔ Licensed in TX · 1102491✔ Licensed in GA · GAA-NP003047✔ Licensed in VA · 0024194779✔ Licensed in TN · 37319✔ Licensed in OH · 0033314✔ Licensed in LA · 244045✔ Licensed in FL · APRN9482729✔ Licensed in NC · 5018989✔ Licensed in SC · 29709

1055 HOWELL MILL RD NW, Atlanta, GA 30318

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Other Names 1

Former Name (1)Kelly Gilliam

Other Identifiers 1

Medicaid024999700FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Board Aprn, Np-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30318 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.

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Other Providers at the Same Location NPPES 20

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

ALEXANDRIA SCOTT NIX APRN, FNP-C

Nurse Practitioner (Family)