KELLY H SCOGGINS NP
NPI 1902160112
Nurse Practitioner - Family in Athens, GA

Active since July 02, 2012PECOS EnrolledAccepts Medicare Assignment
72.81/100
CMS Quality Rating
1500 OGLETHORPE AVE STE 2000, ATHENS, GA 30606(706) 548-5488(706) 548-0016 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, Jun 28, 2021, May 10, 2021 and 1 more (4 updates tracked since 2021).

About Kelly H Scoggins Np NPPES

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

KELLY H SCOGGINS NP (NPI 1902160112) is an individual family provider in Athens, Georgia, licensed in Georgia (RN112607) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902160112
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY H SCOGGINSCredential: NP
Location Address1500 OGLETHORPE AVE STE 2000Athens, GA 30606-2188
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3950 · Fax (706) 389-3951
Fax(706) 548-0016
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 2, 2012
Last NPPES UpdateOctober 25, 20224 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1902160112 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 · RN112607
1500 OGLETHORPE AVE STE 2000, Athens, GA 30606

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly H Scoggins Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567610017
PECOS Enrollment IDI20120907000344
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.2
Promoting Interoperability78
Improvement Activities40
Cost62.51

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Adult Health)
1500 OGLETHORPE AVE STE 2000
ATHENS, GA 30606
Surgery
1500 OGLETHORPE AVE STE 2000
ATHENS, GA 30606
Nurse Practitioner (Family)
1500 OGLETHORPE AVE STE 2000
ATHENS, GA 30606
Nurse Practitioner (Family)
1500 OGLETHORPE AVE STE 2000
ATHENS, GA 30606
Surgery
1500 OGLETHORPE AVE STE 2000
ATHENS, GA 30606
Physician Assistant
1500 OGLETHORPE AVE STE 2000
ATHENS, GA 30606
Surgery
1500 OGLETHORPE AVE STE 2000
ATHENS, GA 30606
Surgery
1500 OGLETHORPE AVE STE 2000
ATHENS, GA 30606

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 Kelly Scoggins's NPI number?

The NPI number for Kelly Scoggins is 1902160112. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Kelly Scoggins located?

Kelly Scoggins practices at 1500 Oglethorpe Ave Ste 2000, Athens, GA 30606. The listed phone number is (706) 548-5488.

What is Kelly Scoggins's specialty?

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

Is Kelly Scoggins enrolled in Medicare?

Yes. Kelly Scoggins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Scoggins accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelly Scoggins 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.

Is Kelly Scoggins affiliated with any hospitals?

According to CMS data, Kelly Scoggins is affiliated with St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Scoggins was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.