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DR. KELLEEN C FITZGERALD M.D.
NPI 1972679918
Internal Medicine in Atlanta, GA

Active since November 28, 2006PECOS Enrolled
1100 JOHNSON FERRY RD., BLDG. II, SUITE 460, ATLANTA, GA 30342(404) 256-1104(404) 256-2060 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelleen C Fitzgerald M.d. NPPES

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

DR. KELLEEN C FITZGERALD M.D. (NPI 1972679918) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (40661) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972679918
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELLEEN C FITZGERALDCredential: M.D.
Location Address1100 JOHNSON FERRY RD., BLDG. II, SUITE 460Atlanta, GA 30342-1709
Mailing Address1100 Johnson Ferry Rd., Bldg. Ii, Suite 460Atlanta, GA 30342-1709 · (404) 256-1104 · Fax (404) 256-2060
Phone(404) 256-1104
Fax(404) 256-2060
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateJanuary 31, 2013
✔ NPI 1972679918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 40661
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1100 JOHNSON FERRY RD., Atlanta, GA 30342
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Other Identifiers 2

Medicare ID-Type Unspecified11BDQXCGA
Medicare UPING54484GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelleen C Fitzgerald 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 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$66.23 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers21 claims21 services$197.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JAMES P CAPO JR. M.D.
Internal Medicine
1100 JOHNSON FERRY RD., BLDG, II, SUITE 460
ATLANTA, GA 30342
Fulton County (404) 256-1104
DR. ROBERT D HERRERA M.D.
Internal Medicine
1100 JOHNSON FERRY RD., BLDG. II, SUITE 460
ATLANTA, GA 30342
Fulton County (404) 256-1104

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 Kelleen Fitzgerald's NPI number?

The NPI number for Kelleen Fitzgerald is 1972679918. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Kelleen Fitzgerald located?

Kelleen Fitzgerald practices at 1100 Johnson Ferry Rd. Bldg. II, Suite 460, Atlanta, GA 30342. The listed phone number is (404) 256-1104.

What is Kelleen Fitzgerald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelleen Fitzgerald enrolled in Medicare?

Yes. Kelleen Fitzgerald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelleen Fitzgerald was last updated on January 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.