MARY KELLY
NPI 1871015685
Student in an Organized Health Care Education/Training Program in Atlanta, GA
About Mary Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KELLY (NPI 1871015685) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Mary Kelly's NPI number?
The NPI number for Mary Kelly is 1871015685. It was assigned to this individual provider in the NPPES registry on July 13, 2017.
Where is Mary Kelly located?
Mary Kelly practices at 100 Woodruff Cir NE, Atlanta, GA 30322. The listed phone number is (404) 727-5655.
What is Mary Kelly's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mary Kelly enrolled in Medicare?
Yes. Mary Kelly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Kelly was last updated on July 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mary Kelly · NPI 1871015685
Student in an Organized Health Care Education/Training Program provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since July 13, 2017.
## Identity
- **NPI:** 1871015685 (Entity type: Individual)
- **Enumerated:** July 13, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 100 WOODRUFF CIR NE, Atlanta, GA 30322-1020
- **Phone:** (404) 727-5655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 13, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1871015685) · Data from the CMS NPPES public registry.