KELLY EDWARDS
NPI 1750159588
Nurse Practitioner - Family in Valdosta, GA
About Kelly Edwards NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY EDWARDS (NPI 1750159588) is an individual family provider in Valdosta, Georgia, licensed in Georgia (RN290241) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, is affiliated with Sgmc Berrien Campus, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Edwards 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Edwards reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakeland, GA 31635
- Reassigned Medicare billing, Georgia enrollment
- 17 clinicians in this Medicare group
Nashville, GA 31639
- Reassigned Medicare billing, Georgia enrollment
- 20 clinicians in this Medicare group
Thomasville, GA 31792
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Southland Emergency Medical Services LLC
- 68 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sgmc Berrien Campus
Acute Care Hospitals · Nashville, GASgmc Health Lanier
Critical Access Hospitals · Lakeland, GAArchbold Brooks
Critical Access Hospitals · Quitman, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Edwards's NPI number?
The NPI number for Kelly Edwards is 1750159588. It was assigned to this individual provider in the NPPES registry on December 12, 2023.
Where is Kelly Edwards located?
Kelly Edwards practices at 305 Oak Center Pl, Valdosta, GA 31602. The listed phone number is (706) 840-4671.
What is Kelly Edwards's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Edwards enrolled in Medicare?
Yes. Kelly Edwards 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.
Which organizations bill Medicare for Kelly Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Edwards reassigns Medicare benefits to 3 organizations: Southland - Lakeland Medical Services, LLC (Lakeland, GA), Southland-Nashville Emergency Services, LLC. (Nashville, GA) and Southland Emergency Medical Services, L.L.C (Thomasville, GA). Each 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 Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Edwards affiliated with any hospitals?
According to CMS data, Kelly Edwards is affiliated with Sgmc Berrien Campus, Sgmc Health Lanier and Archbold Brooks.
When was this NPI record last updated?
The NPPES record for Kelly Edwards was last updated on December 12, 2023. 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.
# Kelly Edwards · NPI 1750159588
Family physician in Valdosta, Georgia. Individual provider, active in the CMS NPPES registry since December 12, 2023.
## Identity
- **NPI:** 1750159588 (Entity type: Individual)
- **Enumerated:** December 12, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN290241 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 305 OAK CENTER PL, Valdosta, GA 31602-1678
- **Phone:** (706) 840-4671
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southland - Lakeland Medical Services, LLC (NPI 1821341397, Lakeland, GA); Southland-Nashville Emergency Services, LLC. (NPI 1639467038, Nashville, GA); Southland Emergency Medical Services, L.L.C (NPI 1477701472, Thomasville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1750159588) · Data from the CMS NPPES public registry.