KELLIE JO STOTSKY
NPI 1790234953
Advanced Practice Midwife in Lagrange, GA

Q: What is Kellie Stotsky's NPI number?

The NPI number for Kellie Stotsky is 1790234953. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Q: What is Kellie Stotsky's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Stotsky was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 29, 2016PECOS Enrolled

303 MEDICAL DR, SUITE 405, LAGRANGE, GA 30240(706) 242-5099(706) 242-5231 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kellie Jo Stotsky NPPES

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

KELLIE JO STOTSKY (NPI 1790234953) is an individual advanced practice midwife in Lagrange, Georgia, licensed in Micronesia (RN262321) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790234953

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameKELLIE JO STOTSKY

Location Address303 MEDICAL DR, SUITE 405Lagrange, GA 30240-4169

Mailing Address303 Medical Dr, Suite 405Lagrange, GA 30240-4169 · (706) 242-5099 · Fax (706) 242-5231

Phone(706) 242-5099

Fax(706) 242-5231

Sole ProprietorNo

Enumeration DateSeptember 29, 2016

✔ NPI 1790234953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in FM · RN262321

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

303 MEDICAL DR, Lagrange, GA 30240

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Jo Stotsky 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 Reassignments

Medicare enrollment records show Kellie Stotsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhp Of Piedmont PC

43 mi

Obstetrics & Gynecology

1255 HIGHWAY 54 W
Fayetteville, GA 30214

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

NPI 1316202609 (770) 719-7000

Wellstar Medical Group, LLC

52 mi

Surgery

4904 TIMBER RIDGE DR, SUITE 104
Douglasville, GA 30135

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1164715132 (770) 942-4822

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 30240 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

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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 2

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

LAGRANGE FAMILY MEDICINE

Family Medicine

303 MEDICAL DR, STE 406
LAGRANGE, GA 30240

Troup County (706) 845-7029

WEST GEORGIA MEDICAL CENTER INC

Urology

303 MEDICAL DR, STE 406
LAGRANGE, GA 30240

Troup County (706) 242-5201

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 Kellie Stotsky's NPI number?

The NPI number for Kellie Stotsky is 1790234953. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Kellie Stotsky located?

Kellie Stotsky practices at 303 Medical Dr Suite 405, Lagrange, GA 30240. The listed phone number is (706) 242-5099.

What is Kellie Stotsky's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kellie Stotsky enrolled in Medicare?

Yes. Kellie Stotsky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kellie Stotsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Stotsky reassigns Medicare benefits to 2 organizations: Dhp Of Piedmont PC (Fayetteville, GA) and Wellstar Medical Group, LLC (Douglasville, 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 Kellie Stotsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kellie Stotsky was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.