DR. PHILLIP BRIAN KELLEY (NPI# 1295793172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295793172 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP BRIAN KELLEY |
| Credential | M.D. |
| Practice Address |
1001 Johnson Ferry Rd Ne Atlanta GA 30342-1605 |
| Mailing Address |
206 Rivergate Dr Suwanee GA 30024-5436 |
| Practice Telephone | 6783441960 |
| Practice Fax Number | 4047854969 |
| Mailing Telephone | 7708887475 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
032843 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750910675 | Phillip Lee Kelley | Counselor | 35 K St Ne, Washington, DC 20002-4216 | 2020-04-02 |
| 1083055396 | Phillip A Kelley | Physician Assistant | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-07-15 |
| Street Address |
1001 JOHNSON FERRY RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287331 | Natavut Punyasavatsut | Pediatrics | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2005-09-30 |
| 1982161196 | Allie Jones Chappell | Registered Nurse | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2019-02-24 |
| 1255759494 | Sean Spencer Evans | Otolaryngology | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30322-1900 | 2014-04-04 |
| 1174864433 | Sarah Sharpless | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2013-03-12 |
| 1114267903 | Kristen Charbonnet Cranmer | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2013-02-15 |
| 1861743858 | Natalie Dinsmore | Anesthesiologist Assistant | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-10-01 |
| 1346598539 | Melinda Mayton | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-08-21 |
| 1548518699 | Bonnie Burke | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-08-21 |
| 1356697387 | Mary Alisha Gates | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-07-27 |
| 1659632461 | Heather Hammond Post | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346427424 | Mark J Ward | Pediatrics | 1680 Tullie Cir Ne, Atlanta, GA 30329-2321 | 2008-01-30 |
| 1508937863 | Jeffrey F Linzer Sr. | Pediatrics | Childrens Healthcare of Atlanta At Egleston, 1405 Clifton Road Ne, Atlanta, GA 30322-1062 | 2006-11-10 |
| 1801834924 | Amit Pundalik Sarnaik | Pediatrics | 1001, Johnson Ferry Road, Childrens Healthcare of Atlanta At Scottish Rite, Atlanta, GA 30342 | 2006-06-02 |
| 1881642866 | Nikita C Rangwalla | Pediatrics | 1001 Johnson Ferry Road Ne, Atlanta, GA 30342 | 2006-05-04 |
| 1437680956 | Robert M Grell | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-8111 | 2017-03-26 |
| 1174054837 | Brent Michael Troy | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-3818 | 2017-03-24 |
| 1174926562 | Gagandeep Kaur Kooner | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322 | 2014-09-30 |
| 1205253390 | Morgan Sparks Martin | Pediatrics | 1364 Clifton Rd Ne, Atlanta, GA 30322-2360 | 2014-03-26 |
| 1982846424 | Sarah Gard Lazarus | Pediatrics | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2009-03-30 |
| 1912169939 | Reena R Blanco | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2008-07-01 |
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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.