1. Home
  2. Directory
  3. Georgia
  4. Gainesville
  5. Nurse Practitioner
  6. NPI Profile

KELLI SPIVEY
NPI 1912415092
Nurse Practitioner - Family in Gainesville, GA

Active since January 11, 2018PECOS EnrolledAccepts Medicare Assignment
535 JESSE JEWELL PKWY SE STE C, GAINESVILLE, GA 30501(770) 534-9014(770) 534-9012 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelli Spivey NPPES

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

KELLI SPIVEY (NPI 1912415092) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN239717) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912415092
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI SPIVEY
Location Address535 JESSE JEWELL PKWY SE STE CGainesville, GA 30501-3772
Mailing Address535 Jesse Jewell Pkwy Se Ste CGainesville, GA 30501-3772 · (770) 534-9014 · Fax (770) 534-9012
Phone(770) 534-9014
Fax(770) 534-9012
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 11, 2018
✔ NPI 1912415092 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 · RN239717
535 JESSE JEWELL PKWY SE STE C, Gainesville, GA 30501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Kelli Spivey 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 ID1153679774
PECOS Enrollment IDI20180730001991
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.

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.
580 services402 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
364 services321 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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.

Reported Quality Measures

Controlling High Blood Pressure
75%24 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%38 patients4/55-star benchmark: 100%
e-Prescribing
98%201 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
92%36 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 31 patients
100%31 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

CHOM PHOU NGUYEN PA-C
Physician Assistant
535 JESSE JEWELL PKWY SE STE C
GAINESVILLE, GA 30501
Hall County (770) 534-9014
CLAIRE LEDFORD PA-C
Physician Assistant
535 JESSE JEWELL PKWY SE STE C
GAINESVILLE, GA 30501
Hall County (770) 534-9014

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 Kelli Spivey's NPI number?

The NPI number for Kelli Spivey is 1912415092. It was assigned to this individual provider in the NPPES registry on January 11, 2018.

Where is Kelli Spivey located?

Kelli Spivey practices at 535 Jesse Jewell Pkwy SE Ste C, Gainesville, GA 30501. The listed phone number is (770) 534-9014.

What is Kelli Spivey's specialty?

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

Is Kelli Spivey enrolled in Medicare?

Yes. Kelli Spivey 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 Kelli Spivey accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelli Spivey 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 Kelli Spivey was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.