KELLY EDWARDS
NPI 1750159588
Nurse Practitioner - Family in Valdosta, GA

Active since December 12, 2023PECOS EnrolledAccepts Medicare Assignment
305 OAK CENTER PL, VALDOSTA, GA 31602(706) 840-4671 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1750159588
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY EDWARDS
Location Address305 OAK CENTER PLValdosta, GA 31602-1678
Mailing Address305 Oak Center PlValdosta, GA 31602-1678 · (706) 840-4671
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
NPI 1750159588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN290241
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11029685 (FL)
305 OAK CENTER PL, Valdosta, GA 31602

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

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.

PECOS PAC ID2264966001
PECOS Enrollment IDI20241115000826
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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
47 services43 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

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, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110234
Location1221 E Mcpherson AvenueNashville, GA 31639 · Berrien County
Emergency services

Sgmc Health Lanier

Critical Access Hospitals · Lakeland, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111326
Location116 West Thigpen AvenueLakeland, GA 31635 · Lanier County
Emergency services

Archbold Brooks

Critical Access Hospitals · Quitman, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111332
Location903 N Court StreetQuitman, GA 31643 · Brooks County
Emergency services

Physician 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.

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.

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.

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.