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KELLY PERDOMO NP-C
NPI 1669917985
Nurse Practitioner - Family in Brookhaven, GA

Active since December 21, 2016
94.05/100
CMS Quality Rating
3369 BUFORD HWY NE STE 810, BROOKHAVEN, GA 30329(404) 321-4692(404) 321-4366 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017, Mar 16, 2017 and 1 more (4 updates tracked since 2016).

About Kelly Perdomo Np-c NPPES

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

KELLY PERDOMO NP-C (NPI 1669917985) is an individual family provider in Brookhaven, Georgia, licensed in Georgia (RN222479) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1669917985
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY PERDOMOCredential: NP-C
Location Address3369 BUFORD HWY NE STE 810Brookhaven, GA 30329-3722
Mailing Address3369 Buford Hwy, Ste 810Brookhaven, GA 30329 · (404) 321-4692 · Fax (404) 321-4366
Phone(404) 321-4692
Fax(404) 321-4366
Sole ProprietorNo
Enumeration DateDecember 21, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1669917985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN222479
3369 BUFORD HWY NE STE 810, Brookhaven, GA 30329
Open in Google Maps ↗

Other Names 1

Professional Name (2)Kelly Vanessa Perdomo Np-c

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
13%93 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%71 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%94 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
65%107 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
65%62 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

KIANA MOVAHED OHLSON NP
Nurse Practitioner (Family)
3369 BUFORD HWY NE STE 810
BROOKHAVEN, GA 30329
Dekalb County (404) 321-4692

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 Perdomo's NPI number?

The NPI number for Kelly Perdomo is 1669917985. It was assigned to this individual provider in the NPPES registry on December 21, 2016. The provider is also known as Kelly Vanessa Perdomo Np-C.

Where is Kelly Perdomo located?

Kelly Perdomo practices at 3369 Buford Hwy NE Ste 810, Brookhaven, GA 30329. The listed phone number is (404) 321-4692.

What is Kelly Perdomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Perdomo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.