MISS KELLY NICOLE GIDDENS M.ED CCC SLP
NPI 1689130940
Speech-Language Pathologist in Lula, GA
About Miss Kelly Nicole Giddens M.ed Ccc Slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KELLY NICOLE GIDDENS M.ED CCC SLP (NPI 1689130940) is an individual speech-language pathologist provider in Lula, Georgia, licensed in Georgia (1373774) and active in the NPI registry since February 2019.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Kelly Nicole Giddens M.ed Ccc Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Giddens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dawsonville, GA 30534
- Reassigned Medicare billing, Georgia enrollment
- 82 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 Giddens's NPI number?
The NPI number for Kelly Giddens is 1689130940. It was assigned to this individual provider in the NPPES registry on February 12, 2019. The provider is also known as Kelly Lunsford M. Ed Ccc Slp.
Where is Kelly Giddens located?
Kelly Giddens practices at 6220 Grove St, Lula, GA 30554. The listed phone number is (770) 653-1707.
What is Kelly Giddens's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Kelly Giddens enrolled in Medicare?
Yes. Kelly Giddens is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Giddens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Giddens reassigns Medicare benefits to Legacy Healthcare Services, Inc. (Dawsonville, 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 Giddens'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 Giddens was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Miss Kelly Nicole Giddens, M.ED CCC SLP · NPI 1689130940
Speech-Language Pathologist provider in Lula, Georgia. Individual provider, active in the CMS NPPES registry since February 12, 2019.
## Identity
- **NPI:** 1689130940 (Entity type: Individual)
- **Enumerated:** February 12, 2019
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 1373774 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6220 GROVE ST, Lula, GA 30554-2942
- **Phone:** (770) 653-1707
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Legacy Healthcare Services, Inc. (NPI 1528419751, Dawsonville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689130940) · Data from the CMS NPPES public registry.