KELLEY SUE WHARTON NP
NPI 1902061864
Nurse Practitioner - Family in Lilburn, GA

Active since July 21, 2008
4120 FIVE FORKS TRICKUM RD SW, SUITE 105, LILBURN, GA 30047(770) 921-6900(770) 921-6313 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Sue Wharton Np NPPES

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

KELLEY SUE WHARTON NP (NPI 1902061864) is an individual family provider in Lilburn, Georgia, licensed in Georgia (RN113675) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1902061864
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY SUE WHARTONCredential: NP
Location Address4120 FIVE FORKS TRICKUM RD SW, SUITE 105Lilburn, GA 30047-3130
Mailing Address4120 Five Forks Trickum Rd Sw, Suite 105Lilburn, GA 30047-3130 · (770) 921-6900 · Fax (770) 921-6313
Fax(770) 921-6313
Sole ProprietorNo
Enumeration DateJuly 21, 2008
NPI 1902061864 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 · RN113675
4120 FIVE FORKS TRICKUM RD SW, Lilburn, GA 30047

Other Providers at the Same Location NPPES 10

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

Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Nurse Practitioner (Family)
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Pediatrics
4120 FIVE FORKS TRICKUM RD SW, STE 102
LILBURN, GA 30047
Internal Medicine (Cardiovascular Disease)
4120 FIVE FORKS TRICKUM RD SW, SUITE 103
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, SUITE 105
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, SUITE 105
LILBURN, GA 30047
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047

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 Kelley Wharton's NPI number?

The NPI number for Kelley Wharton is 1902061864. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Kelley Wharton located?

Kelley Wharton practices at 4120 Five Forks Trickum Rd SW Suite 105, Lilburn, GA 30047. The listed phone number is (770) 921-6900.

What is Kelley Wharton's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelley Wharton was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.