MRS. KELLY MARIE MCDOWELL (NPI# 1174877195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174877195 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MARIE MCDOWELL |
| Practice Address |
1227 Persimmon Way Mcdonough GA 30252-8438 |
| Mailing Address |
3390 Peachtree Nerd 1500 Atlanta GA 30326-2822 |
| Practice Telephone | 6783155766 |
| Mailing Telephone | 4044038310 |
| Mailing Fax Number | 4049204959 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN154424 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871154138 | Kelly Mcdowell | Nurse Practitioner | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2019-06-26 |
| Street Address |
1227 PERSIMMON WAY |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30252-8438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932305323 | John Authur Mcdowell Jr. | Physician Assistant | 1227 Persimmon Way, Mcdonough, GA 30252-8438 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1194271320 | Christine Williams Breeden | Registered Nurse | 189 Irwin Drive, Mcdonough, GA 30252 | 2016-08-28 |
| 1518322395 | Jaquita Shorts | Counselor | 1705 Pennslyvania Ave, Mcdonough, GA 30252 | 2015-12-22 |
| 1356758973 | Keisha Candies | Counselor | 125 Zack Hinton Pkwy, Mcdonough, GA 30252 | 2014-07-15 |
| 1093145666 | Ceisha Shador Parks | Counselor | 6040 Winston Trace, Mcdonough, GA 30252 | 2013-11-19 |
| 1588939565 | Tasha E Jones | Counselor | 1509 Bent River Cir, Mcdonough, GA 30252 | 2012-03-09 |
| 1598049447 | Proactive Rehab, Inc | Physical Therapist | 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 | 2011-10-10 |
| 1164706131 | Michelle Lee Cone | Pharmacist | 1210 Bent Creek Dr, Mcdonough, GA 30252 | 2011-10-07 |
| Find all providers in zip 30252 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1568060846 | Crystaline Joi Prothro | Nurse Practitioner | 4085 Springvale Way, Mcdonough, GA 30252-6872 | 2020-10-09 |
| 1790393064 | Nicole L Smith | Nurse Practitioner | 505 Bingham Dr, Mcdonough, GA 30253-8050 | 2020-07-22 |
| 1528676046 | Joseph Ndangoh Fongod | Nurse Practitioner | 1289 Heartwood Ave, Mcdonough, GA 30253-3070 | 2020-07-21 |
| 1881211233 | Adelaida L. Mayeta Peart | Nurse Practitioner | 208 Shelton Dr, Mcdonough, GA 30252-3124 | 2020-07-01 |
| 1619593886 | Heather E Cameron | Nurse Practitioner | 50 Kelly Rd Ste 200, Mcdonough, GA 30253-6097 | 2020-06-23 |
| 1023631157 | Catherine A Nkongho | Nurse Practitioner | 437 Concord Cir, Mcdonough, GA 30253-8001 | 2020-05-23 |
| 1336774876 | Alvin O Mcdonald | Nurse Practitioner | 312 Horsehill St, Mcdonough, GA 30253-4666 | 2020-03-05 |
| 1376178798 | Hannah Lynn Mccall | Nurse Practitioner | 437 Stallsworth Rd, Mcdonough, GA 30252-6140 | 2020-03-05 |
| 1376177295 | Sandy Zachery | Nurse Practitioner | 526 Bentley Way, Mcdonough, GA 30253-3762 | 2020-02-29 |
| Find all providers in MCDONOUGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.