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KELLYN WINGERT FNP-C
NPI 1841067717
Nurse Practitioner - Family in Atlanta, GA

Active since December 11, 2023Opted out of Medicare · through Jun 27, 2027
4646 N SHALLOWFORD RD, ATLANTA, GA 30338(770) 676-6000 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellyn Wingert Fnp-c NPPES

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

KELLYN WINGERT FNP-C (NPI 1841067717) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN323601) and active in the NPI registry since December 2023. She has opted out of Medicare through June 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841067717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLYN WINGERTCredential: FNP-C
Location Address4646 N SHALLOWFORD RDAtlanta, GA 30338-6308
Mailing Address4646 N Shallowford RdAtlanta, GA 30338-6308 · (770) 676-6000
Phone(770) 676-6000
Sole ProprietorNo
Enumeration DateDecember 11, 2023
NPPES CertifiedDecember 10, 2023
✔ NPI 1841067717 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 · RN323601
4646 N SHALLOWFORD RD, Atlanta, GA 30338
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kellyn Wingert Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 27, 2025 through June 27, 2027.

Opt-Out Effective DateJune 27, 2025
Opt-Out In Effect ThroughJune 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30338 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.

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.

PROGRESSIVE MEDICAL CENTERS OF AMERICA LTD
Integrative Medicine
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000
CARI CATER LAC
Acupuncturist
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (941) 228-2833
MELISSA NOHR
Health and Wellness Coach
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000
MRS. PATTI MATALONE
Registered Nurse
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000
AMY TARQUINI ND
Naturopath
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000
MRS. CHERYL BURDETTE ND
Naturopath
4646 N SHALLOWFORD RD
DUNWOODY, GA 30338
Dekalb County (678) 736-6374
PROGRESSIVE HEALTHCARE & DIAGNOSTICS, LLC
General Practice
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (678) 736-6343
NICOLE KROKO STROVINSKAS DIETITIAN
Dietitian, Registered
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000

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 Kellyn Wingert's NPI number?

The NPI number for Kellyn Wingert is 1841067717. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is Kellyn Wingert located?

Kellyn Wingert practices at 4646 N Shallowford Rd, Atlanta, GA 30338. The listed phone number is (770) 676-6000.

What is Kellyn Wingert's specialty?

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

Is Kellyn Wingert enrolled in Medicare?

No. Kellyn Wingert has opted out of Medicare through June 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kellyn Wingert was last updated on December 11, 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.