KELLIE THAXTON
NPI 1669218350
Nurse Practitioner - Family in Watkinsville, GA
About Kellie Thaxton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE THAXTON (NPI 1669218350) is an individual family provider in Watkinsville, Georgia, licensed in Georgia (APRN-NP300595) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kellie Thaxton 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 Kellie Thaxton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Watkinsville, GA 30677
- Reassigned Medicare billing, Georgia enrollment
- 19 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Hospital
Acute Care Hospitals · Athens, GAPiedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30677 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kellie Thaxton's NPI number?
The NPI number for Kellie Thaxton is 1669218350. It was assigned to this individual provider in the NPPES registry on July 2, 2024.
Where is Kellie Thaxton located?
Kellie Thaxton practices at 1150 Golden Way, Watkinsville, GA 30677. The listed phone number is (706) 612-9401.
What is Kellie Thaxton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kellie Thaxton enrolled in Medicare?
Yes. Kellie Thaxton 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 Kellie Thaxton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Thaxton reassigns Medicare benefits to Athens Area Urology, PC (Watkinsville, 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 Kellie Thaxton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie Thaxton accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kellie Thaxton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kellie Thaxton affiliated with any hospitals?
According to CMS data, Kellie Thaxton is affiliated with St Mary's Hospital and Piedmont Athens Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kellie Thaxton was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kellie Thaxton · NPI 1669218350
Family physician in Watkinsville, Georgia. Individual provider, active in the CMS NPPES registry since July 2, 2024.
## Identity
- **NPI:** 1669218350 (Entity type: Individual)
- **Enumerated:** July 2, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP300595 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1150 GOLDEN WAY, Watkinsville, GA 30677-7712
- **Phone:** (706) 612-9401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Athens Area Urology, PC (NPI 1578803755, Watkinsville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669218350) · Data from the CMS NPPES public registry.