STONE MOUNTAIN HEALTHCARE, PC
NPI 1851779169
Family Medicine in Lakewood, CO
About Stone Mountain Healthcare, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STONE MOUNTAIN HEALTHCARE, PC (NPI 1851779169) is a healthcare organization registered as a family medicine in Lakewood, Colorado and active in the NPI registry since May 2015. The organization maintains a secondary practice location in Broomfield and lists Elizabeth Kelts, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stone Mountain Healthcare, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stone Mountain Healthcare, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Stone Mountain Healthcare, PC's NPI number?
The NPI number for Stone Mountain Healthcare, PC is 1851779169. It was assigned to this organization in the NPPES registry on May 7, 2015.
Where is Stone Mountain Healthcare, PC located?
Stone Mountain Healthcare, PC is located at 12081 W Alameda Pkwy Ste 438, Lakewood, CO 80228. The listed phone number is (303) 551-3643.
What is Stone Mountain Healthcare, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stone Mountain Healthcare, PC enrolled in Medicare?
Yes. Stone Mountain Healthcare, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stone Mountain Healthcare, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Stone Mountain Healthcare, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stone Mountain Healthcare, PC was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Stone Mountain Healthcare, Pc · NPI 1851779169
Family Medicine organization in Lakewood, Colorado. Organization record, active in the CMS NPPES registry since May 7, 2015.
## Identity
- **NPI:** 1851779169 (Entity type: Organization)
- **Enumerated:** May 7, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Kelts, PRESIDENT
## Practice location
- **Address:** 12081 W ALAMEDA PKWY STE 438, Lakewood, CO 80228-2701
- **Phone:** (303) 551-3643
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1851779169) · Data from the CMS NPPES public registry.