MS. QUINTISIA BERETE KELLY
NPI 1790521649
Counselor - Professional in Macon, GA

Q: What is Quintisia Kelly's NPI number?

The NPI number for Quintisia Kelly is 1790521649. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Q: What is Quintisia Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Quintisia Kelly was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 July 01, 2024PECOS Enrolled

2198 INGLESIDE AVE, MACON, GA 31204(803) 260-5807 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2026, Sep 15, 2025, Jul 1, 2024 (3 updates tracked since 2024).

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About Ms. Quintisia Berete Kelly NPPES

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

MS. QUINTISIA BERETE KELLY (NPI 1790521649) is an individual professional provider in Macon, Georgia, licensed in Georgia (LPC015806) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790521649

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. QUINTISIA BERETE KELLY

Location Address2198 INGLESIDE AVEMacon, GA 31204-2030

Mailing Address203 Brown Thrasher LnKathleen, GA 31047-2746 · (803) 260-5807

Phone(803) 260-5807

Sole ProprietorNo

Enumeration DateJuly 1, 2024

Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1790521649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC015806

2198 INGLESIDE AVE, Macon, GA 31204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Quintisia Berete Kelly 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 Reassignment

Medicare enrollment records show Quintisia Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

530 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

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

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

CALDWELL COUNSELING SERVICES, LLC

Social Worker (Clinical)

2198 INGLESIDE AVE
MACON, GA 31204

Bibb County (478) 292-2591

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 Quintisia Kelly's NPI number?

The NPI number for Quintisia Kelly is 1790521649. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Quintisia Kelly located?

Quintisia Kelly practices at 2198 Ingleside Ave, Macon, GA 31204. The listed phone number is (803) 260-5807.

What is Quintisia Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Quintisia Kelly enrolled in Medicare?

Yes. Quintisia Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Quintisia Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Quintisia Kelly reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Quintisia Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Quintisia Kelly accept?

Health plans from UnitedHealthcare list Quintisia Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Quintisia Kelly was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.