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KELLY ANNE KALLIS CFNP
NPI 1831244417
Nurse Practitioner in Fayetteville, GA

Active since January 24, 2007PECOS Enrolled
101 YORKTOWN DR, FAYETTEVILLE, GA 30214(770) 460-4285 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Anne Kallis Cfnp NPPES

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

KELLY ANNE KALLIS CFNP (NPI 1831244417) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (119187) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831244417
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY ANNE KALLISCredential: CFNP
Location Address101 YORKTOWN DRFayetteville, GA 30214-1568
Mailing AddressPo Box 102321Atlanta, GA 30368-2321
Phone(770) 460-4285
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateFebruary 17, 2011
✔ NPI 1831244417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · 119187
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
101 YORKTOWN DR, Fayetteville, GA 30214
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Other Identifiers 1

Medicare UPINP32005GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Anne Kallis Cfnp 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 Kelly Kallis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group Of Georgia LLC
Same address
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285

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 30214 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%3,189 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
77%333 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%46 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%309 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%229 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
85%229 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
61%229 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. G ANTHONY SLAGEL MD
Dermatology
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (770) 464-8428
PRIVIA MEDICAL GROUP OF GEORGIA LLC
Internal Medicine
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4285
ASHLEE BLOCK PA-C
Physician Assistant
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (678) 593-9020
PROF. MUKTI BHATIA KANJI D.O.
Family Medicine
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4285
GEORGIA REHABILITATION CENTER INC
Clinic/Center (Physical Therapy)
101 YORKTOWN DR, SUITE 211
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4054
MICHAEL ALLEN MCCULLOUGH PHD, NP-BC, AP-RN
Nurse Practitioner (Family)
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4075
DR. DAVID WOODS ARNALL MD
Internal Medicine
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (770) 464-4280
ALTEE S JOHNSON M.D.
Family Medicine
101 YORKTOWN DR, SUITE110
FAYETTEVILLE, GA 30214
Fayette County (678) 364-5400

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 Kallis's NPI number?

The NPI number for Kelly Kallis is 1831244417. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Kelly Kallis located?

Kelly Kallis practices at 101 Yorktown Dr, Fayetteville, GA 30214. The listed phone number is (770) 460-4285.

What is Kelly Kallis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Kallis enrolled in Medicare?

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

Which organization bills Medicare for Kelly Kallis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kallis reassigns Medicare benefits to Privia Medical Group Of Georgia LLC (Fayetteville, GA). 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 Kelly Kallis'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 Kelly Kallis was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.