SHANNON D KELLY LPC
NPI 1679710594
Counselor - Professional in Athens, GA
About Shannon D Kelly Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON D KELLY LPC (NPI 1679710594) is an individual professional provider in Athens, Georgia, licensed in Georgia (LPC006024) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon D Kelly Lpc 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.
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.
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 Shannon Kelly's NPI number?
The NPI number for Shannon Kelly is 1679710594. It was assigned to this individual provider in the NPPES registry on January 14, 2009.
Where is Shannon Kelly located?
Shannon Kelly practices at 250 North Ave, Athens, GA 30601. The listed phone number is (706) 389-6789.
What is Shannon Kelly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shannon Kelly enrolled in Medicare?
Yes. Shannon Kelly 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.
When was this NPI record last updated?
The NPPES record for Shannon Kelly 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.
# Shannon D Kelly, LPC · NPI 1679710594
Professional provider in Athens, Georgia. Individual provider, active in the CMS NPPES registry since January 14, 2009.
## Identity
- **NPI:** 1679710594 (Entity type: Individual)
- **Enumerated:** January 14, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC006024 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 NORTH AVE, Athens, GA 30601-2244
- **Phone:** (706) 389-6789
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679710594) · Data from the CMS NPPES public registry.