KELLY D CAULLEY CNP
NPI 1992042402
Nurse Practitioner - Family in Johns Creek, GA
About Kelly D Caulley Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY D CAULLEY CNP (NPI 1992042402) is an individual family provider in Johns Creek, Georgia, licensed in Georgia (RN133307 NP) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly D Caulley Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Caulley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30097 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
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 Caulley's NPI number?
The NPI number for Kelly Caulley is 1992042402. It was assigned to this individual provider in the NPPES registry on January 4, 2013.
Where is Kelly Caulley located?
Kelly Caulley practices at 11459 Johns Creek Pkwy Suite 250, Johns Creek, GA 30097. The listed phone number is (770) 497-1555.
What is Kelly Caulley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Caulley enrolled in Medicare?
Yes. Kelly Caulley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Caulley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Caulley reassigns Medicare benefits to Pandya Medical Center, Inc (Johns Creek, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Caulley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Caulley was last updated on January 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kelly D Caulley, CNP · NPI 1992042402
Family physician in Johns Creek, Georgia. Individual provider, active in the CMS NPPES registry since January 4, 2013.
## Identity
- **NPI:** 1992042402 (Entity type: Individual)
- **Enumerated:** January 4, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN133307 NP (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11459 JOHNS CREEK PKWY, SUITE 250, Johns Creek, GA 30097-3515
- **Phone:** (770) 497-1555 · **Fax:** (678) 473-9877
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pandya Medical Center, Inc (NPI 1730501586, Johns Creek, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1992042402) · Data from the CMS NPPES public registry.