MRS. CAROLYN MARION KELLY (NPI# 1376981209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376981209 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN MARION KELLY |
| Credential | R.N. BSN |
| Practice Address |
1711 Holmes Dr Sw Conyers GA 30094-4725 |
| Practice Telephone | 7708289967 |
| Mailing Telephone | 7708289967 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN51831 | GA | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN051831 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407197072 | Carolyn Ann Kelly | Nurse Practitioner | 11 Osborne St, Danbury, CT 06810-5918 | 2013-03-07 |
| 1619264041 | Carolyn Kelly | Podiatrist | 396 Remington Blvd Ste 370, Bolingbrook, IL 60440-4302 | 2011-07-06 |
| 1639283286 | Carolyn Downey Kelly | Nurse Practitioner | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 | 2006-08-19 |
| 1649739350 | Carolyn Kelly | Counselor | 3445 S Sheridan Rd, Tulsa, OK 74145-1105 | 2019-03-13 |
| 1316399421 | Carolyn Kelly | Social Worker | 676 N Saint Clair St, Suite 2140, Chicago, IL 60611-2927 | 2016-07-13 |
| 1639503345 | Carolyn V Kelly | Physical Therapist | 4700 Gilbert Ave, Suite 51, Western Springs, IL 60558-1753 | 2013-08-29 |
| 1912174913 | Carolyn Kelly | Nurse Practitioner | 801 6th St S, St Petersburg, FL 33701-4816 | 2008-05-09 |
| 1740328863 | Carolyn Kelly | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1427062264 | Carolyn Jean Kelly | Internal Medicine | 3350 La Jolla Village Dr, Mail Code 111h, San Diego, CA 92161-0002 | 2006-07-28 |
| 1164463741 | Carolyn S Kelly | Counselor | 107 Thomason Blvd, Goose Creek, SC 29445-2945 | 2006-06-08 |
| Street Address |
1711 HOLMES DR SW |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114365046 | Integrity Staffing | Case Management | 1711 Holmes Dr Sw, Conyers, GA 30094-4725 | 2013-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378028 | Dawn Renee Dennis | Registered Nurse | 2012 Eastview Pkwy, Conyers, GA 30013-5701 | 2020-08-25 |
| 1558998435 | Celechia Avadawne Johnson | Registered Nurse | 3407 Charter Ct, Conyers, GA 30013-6387 | 2020-03-23 |
| 1164953279 | Tamu Anne Spruill-barton | Registered Nurse | 1021 Rosser St Nw, Conyers, GA 30012-4463 | 2017-03-22 |
| 1619426418 | Gregory Jean | Registered Nurse | 2624 Crest Valley Dr, Conyers, GA 30094-8007 | 2016-09-22 |
| 1902284532 | Serene Palmer | Registered Nurse | 137 Odyssey Turn, Conyers, GA 30012-3681 | 2015-05-14 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1710203641 | Janice Chatman-jarrett | Registered Nurse | 315 Greenleaf Rd, Conyers, GA 30013-2272 | 2010-04-16 |
| 1164747291 | Healthcare Solutions of America LLC | Registered Nurse | 2066 Eastside Dr, Suite 100, Conyers, GA 30013-1961 | 2010-03-31 |
| 1194346817 | Ronnette Frank | Registered Nurse | 1775 Parker Rd Se Ste 210, Conyers, GA 30094-6654 | 2020-05-05 |
| 1275053340 | Deveane Tatanya Atkinson | Registered Nurse | 1445 Old Mcdonough Hwy Se Ste E, Conyers, GA 30094 | 2017-06-21 |
| Find all providers in CONYERS | ||||
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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.