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MRS. KELLI MARIE THOMPSON
NPI 1760004667
Nurse Practitioner - Family in Pooler, GA

Active since May 13, 2020
122 CANAL ST STE 104, POOLER, GA 31322(912) 450-0999 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelli Marie Thompson NPPES

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

MRS. KELLI MARIE THOMPSON (NPI 1760004667) is an individual family provider in Pooler, Georgia, licensed in Georgia (268094) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1760004667
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLI MARIE THOMPSON
Location Address122 CANAL ST STE 104Pooler, GA 31322-4408
Mailing Address636 Wyndham WayPooler, GA 31322-3623
Phone(912) 450-0999
Sole ProprietorNo
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1760004667 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 · 268094
122 CANAL ST STE 104, Pooler, GA 31322
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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 Kelli Thompson's NPI number?

The NPI number for Kelli Thompson is 1760004667. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Kelli Thompson located?

Kelli Thompson practices at 122 Canal St Ste 104, Pooler, GA 31322. The listed phone number is (912) 450-0999.

What is Kelli Thompson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Thompson was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.