MRS. KELLIE E NEELY


Address: 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017
Phone: 6784932527

MRS. KELLIE E NEELY (NPI# 1437529369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437529369
Entity Type Individual
Full Name MRS. KELLIE E NEELY
Credential AGACNP
Practice Address 460 Northside Cherokee Blvd Ste 130
Canton
GA 30115-8017
Mailing Address 285 Vineyard Dr
Dallas
GA 30132-6019
Practice Telephone 6784932527
Practice Fax Number 6784935608
Enumeration Date 2015-10-05
Last Update Date 2018-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN218103 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 460 NORTHSIDE CHEROKEE BLVD STE 130
City CANTON
State GA
Zip Code 30115-8017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295826105 Vassilakis Vassiliou Physician Assistant 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 2006-09-27
1790179737 Kristian Hunt Nurse Practitioner 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 2015-03-27
1912399726 Dawn Cox Registered Nurse 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 2015-03-03
1659529303 Beatrice Anih Nde Nurse Practitioner 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 2008-09-07
1417118605 Raxit Rajesh Patel Internal Medicine 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 2008-06-19
1164600623 Akhil Vallabhaneni Internal Medicine 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 2008-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
Find all providers in zip 30115

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447872965 Gagan Preet Kaur Dhaliwal Nurse Practitioner 45418 Glengarry Blvd, Canton, MI 48188-3001 2020-05-07
1295387066 Amber Dabelstein Nurse Practitioner 6131 Fairborn Dr, Canton, MI 48187-5624 2019-07-11
1619533536 Murshed Nawaz Nurse Practitioner 543 Foster St, Canton, TX 75103-1905 2019-05-15
1871018903 James Adam Carr Nurse Practitioner 6613 Chadwick Dr, Canton, MI 48187-1639 2017-08-09
1699296871 Marcelina Reyes Socie Nurse Practitioner 2050 N Haggerty Rd Ste 100, Canton, MI 48187-3796 2017-06-28
1427418409 Telehealthone, LLC Nurse Practitioner 1301 East Peace Street, Canton, MS 39046-7900 2016-03-03
1730788647 Gwendolyn Shumaker Nurse Practitioner 2600 Sixth St Sw, Canton, OH 44710-1702 2020-10-21
1316553175 Victoria Watt Nurse Practitioner 1320 Mercy Dr Nw, Canton, OH 44708-2641 2020-09-17
1164077434 Chetna Patel Nurse Practitioner 1320 Mercy Dr Nw, Canton, OH 44708-2614 2019-08-05
1811557515 Sara M Fichter Nurse Practitioner 1320 Mercy Dr Nw, Canton, OH 44708-2641 2019-06-17
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 30115

Improve Information

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Dataset Information

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.

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