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NICHOLAS OWEN KELLEY M.D.
NPI 1861729709
Pediatrics in Decatur, GA

Active since November 13, 2009PECOS Enrolled
125 CLAIREMONT AVE STE 190, DECATUR, GA 30030(404) 748-9691 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2019, Sep 13, 2016 (2 updates tracked since 2016).

About Nicholas Owen Kelley M.d. NPPES

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

NICHOLAS OWEN KELLEY M.D. (NPI 1861729709) is an individual pediatrics provider in Decatur, Georgia, licensed in South Carolina (35675) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861729709
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameNICHOLAS OWEN KELLEYCredential: M.D.
Location Address125 CLAIREMONT AVE STE 190Decatur, GA 30030
Mailing Address1875 Century Blvd Ne Ste 150Atlanta, GA 30345-3323 · (404) 633-4595
Phone(404) 748-9691
Sole ProprietorNo
Enumeration DateNovember 13, 2009
Last NPPES UpdateMay 7, 20192 updates tracked since enumeration
✔ NPI 1861729709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 35675
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
125 CLAIREMONT AVE STE 190, Decatur, GA 30030
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Other Identifiers 1

Medicaid356750SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Owen Kelley M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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 3

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

MEGAN BYRNE CPNP
Nurse Practitioner (Pediatrics)
125 CLAIREMONT AVE STE 190
DECATUR, GA 30030
Dekalb County (404) 748-9691
KORINNE MCNALLY
Registered Nurse
125 CLAIREMONT AVE STE 190
DECATUR, GA 30030
Dekalb County (404) 748-9691
KATHERINE BUTLER BRYAN NP
Nurse Practitioner (Pediatrics)
125 CLAIREMONT AVE STE 190
DECATUR, GA 30030
Dekalb County (404) 748-9691

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 Nicholas Kelley's NPI number?

The NPI number for Nicholas Kelley is 1861729709. It was assigned to this individual provider in the NPPES registry on November 13, 2009.

Where is Nicholas Kelley located?

Nicholas Kelley practices at 125 Clairemont Ave Ste 190, Decatur, GA 30030. The listed phone number is (404) 748-9691.

What is Nicholas Kelley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicholas Kelley enrolled in Medicare?

Yes. Nicholas Kelley is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Kelley accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicholas Kelley 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 Nicholas Kelley was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.