MRS. KELLY M DOUB NNP-BC
NPI 1700179900
Nurse Practitioner - Neonatal in Columbus, GA

Q: What is Kelly Doub's NPI number?

The NPI number for Kelly Doub is 1700179900. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Q: What is Kelly Doub's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Doub was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 20, 2011PECOS Enrolled

2122 MANCHESTER EXPRESSWAY, COLUMBUS, GA 31904(706) 320-2773(706) 596-4226 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Kelly M Doub Nnp-bc NPPES

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

MRS. KELLY M DOUB NNP-BC (NPI 1700179900) is an individual neonatal provider in Columbus, Georgia, licensed in Georgia (RN226465) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700179900

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMRS. KELLY M DOUBCredential: NNP-BC

Location Address2122 MANCHESTER EXPRESSWAYColumbus, GA 31904

Mailing Address2300 Manchester Expy Ste 2001aColumbus, GA 31904-6802 · (706) 320-3126 · Fax (706) 320-3054

Phone(706) 320-2773

Fax(706) 596-4226

Sole ProprietorNo

Enumeration DateMay 20, 2011

Last NPPES UpdateAugust 1, 2024

NPPES CertifiedAugust 1, 2024

✔ NPI 1700179900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in GA · RN226465

2122 MANCHESTER EXPRESSWAY, Columbus, GA 31904

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Other Identifiers 2

Medicaid167215AL

Medicaid003129046EGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly M Doub Nnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Doub reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Francis Physician Practices LLC

Same address

Internal Medicine

2122 MANCHESTER EXPY
Columbus, GA 31904

Reassigned Medicare billing, Georgia enrollment
292 clinicians in this Medicare group

NPI 1225493653 (706) 320-2773

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Other Providers at the Same Location NPPES 18

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

MR. DAVID P. SMITH MD

Emergency Medicine