KELLY FORREST (NPI# 1184084600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184084600 |
| Entity Type | Individual |
| Full Name | KELLY FORREST |
| Other Name | KELLY ANTION |
| Credential | NP |
| Practice Address |
705 Dixie St Carrollton GA 30117-3818 |
| Mailing Address |
119 Ambulance Dr Suite 202 Carrollton GA 30117-3857 |
| Practice Telephone | 7708388824 |
| Practice Fax Number | 7708388563 |
| Mailing Telephone | 7708388710 |
| Mailing Fax Number | 7708388563 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN209834 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN209834 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154499333 | Kelly A Forrest | Counselor | 628 Circle Dr, Aberdeen, SD 57401-2615 | 2006-12-04 |
| Street Address |
705 DIXIE ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848799 | Lawrence Brett Carter | Pharmacist | 705 Dixie St, Carrollton, GA 30117-3818 | 2005-08-22 |
| 1760007322 | Crystal Renee Grayson | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-06-10 |
| 1962025361 | Amanda Hasty Mcentyre | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1265055669 | Purdy Jackson | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1528681921 | Amanda Phillips Kranz | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1699396630 | Katherine Victoria White | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-04-30 |
| 1144866047 | Jennifer Tiffany Jiles | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-11-26 |
| 1750934733 | Tiffany Landry | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104479195 | Kim Rowell | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104478916 | Brandon Gabe Graves | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447797584 | Jenna Combs | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2017-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746009 | Jummai Folashade Akinrinmade | Nurse Practitioner | 5290 Hidden Valley Ln, Cumming, GA 30028-7024 | 2020-09-25 |
| 1396350997 | Ellen Allen | Nurse Practitioner | 8040 Highway 54, Sharpsburg, GA 30277-2112 | 2020-09-10 |
| 1588277867 | Saleta Anica Brogdon | Nurse Practitioner | 10 Muirfield Dr, Covington, GA 30016-6536 | 2020-08-26 |
| 1043828106 | Shonkeisha Byrd | Nurse Practitioner | 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 | 2020-07-15 |
| 1558982272 | Irene Kamau | Nurse Practitioner | 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 | 2020-05-05 |
| 1891324133 | Branette Young | Nurse Practitioner | 1120 Lehavre Ct, Hampton, GA 30228-3022 | 2020-04-08 |
| 1851938559 | Sandra Holloway | Nurse Practitioner | 607 Bethany St, Sparks, GA 31647-7139 | 2019-12-02 |
| 1013550508 | Monica Smart Mills | Nurse Practitioner | 8315 Champion Trl, Fairburn, GA 30213-4739 | 2019-10-28 |
| 1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
| 1922661800 | Dorcus Healthcare Services LLC | Nurse Practitioner | 105 Greystone Dr, Guyton, GA 31312-5548 | 2019-04-17 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on KELLY FORREST.
| 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.