KELLY SKONER
NPI 1710517388
Nurse Practitioner - Family in Douglasville, GA

Q: What is Kelly Skoner's NPI number?

The NPI number for Kelly Skoner is 1710517388. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Q: What is Kelly Skoner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Skoner was last updated on April 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 22, 2020PECOS Enrolled

3872 HIGHWAY 5, DOUGLASVILLE, GA 30135(770) 949-5535 Get Directions Write a Review

NPPES record last updated: April 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2023, Jan 22, 2020 (2 updates tracked since 2020).

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About Kelly Skoner NPPES

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

KELLY SKONER (NPI 1710517388) is an individual family provider in Douglasville, Georgia, licensed in Georgia (RN267340) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710517388

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY SKONER

Location Address3872 HIGHWAY 5Douglasville, GA 30135-3366

Mailing Address180 Saddle Horse LnHiram, GA 30141-2379 · (714) 745-4458

Phone(770) 949-5535

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 22, 2020

Last NPPES UpdateApril 9, 20232 updates tracked since enumeration

NPPES CertifiedApril 9, 2023

✔ NPI 1710517388 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 · RN267340

3872 HIGHWAY 5, Douglasville, GA 30135

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Skoner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345606778

PECOS Enrollment IDI20230510000264

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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Other Providers at the Same Location NPPES 7

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

DOUGLAS COUNTY FAMILY PRACTICE, P.C.

Clinic/Center (Primary Care)