MISS KELLI M. HENDLEY (NPI# 1487164380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487164380 |
| Entity Type | Individual |
| Full Name | MISS KELLI M. HENDLEY |
| Credential | NP |
| Practice Address |
8880 Abercorn St Savannah GA 31406-4508 |
| Mailing Address |
Po Box 61356 Savannah GA 31420-1356 |
| Practice Telephone | 9127131422 |
| Practice Fax Number | 9123510589 |
| Mailing Telephone | 9123489495 |
| Mailing Fax Number | 9123489496 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN165059 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8880 ABERCORN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659360600 | Randolph C Bishop | Neurological Surgery | 8880 Abercorn St, Savannah, GA 31406-4508 | 2005-10-20 |
| 1265089627 | Advanced Neurosurgical Solutions, LLC | Neurological Surgery | 8880 Abercorn St, Savannah, GA 31406-4508 | 2019-08-21 |
| 1427567304 | Wendy Brady Register | Family Medicine | 8880 Abercorn St, Savannah, GA 31406-4508 | 2017-09-24 |
| 1558814137 | Cristen Ray Ingham | Physician Assistant | 8880 Abercorn St, Savannah, GA 31406-4508 | 2016-07-29 |
| 1114314853 | Kayla Hill | Physician Assistant | 8880 Abercorn St, Savannah, GA 31406-4508 | 2015-04-21 |
| 1134517527 | Neurological Spine and Pain | Anesthesiology | 8880 Abercorn St, Savannah, GA 31406-4508 | 2015-01-07 |
| 1275888273 | Lillian Sprague Dixon | Physician Assistant | 8880 Abercorn St, Savannah, GA 31406 | 2012-07-17 |
| 1841579067 | Abercorn Family Medical Center | Family Medicine | 8880 Abercorn St, Savannah, GA 31406-4508 | 2011-08-04 |
| 1336366871 | Priscilla Jo Ross | Anesthesiology | 8880 Abercorn St, Savannah, GA 31406-4508 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1952900383 | Micaiah Mitchell | Nurse Practitioner | 10612 Middleground Rd Apt 513, Savannah, GA 31419-1268 | 2020-10-17 |
| 1104424712 | Yolanda Michelle Miller | Nurse Practitioner | 1651 Mckinnon Dr, Savannah, GA 31404-2319 | 2020-10-15 |
| 1730795386 | Shanika Graham | Nurse Practitioner | 2330 Coakley St, Savannah, GA 31404-4947 | 2020-09-18 |
| 1508479775 | Tonya L Creasy | Nurse Practitioner | 170 Barker Dr, Savannah, TN 38372-8419 | 2020-08-28 |
| 1356952394 | Elizabeth Woods Hammond | Nurse Practitioner | 107 W Liberty St Apt 6, Savannah, GA 31401-3965 | 2020-08-13 |
| 1740898915 | Bryan S Christain | Nurse Practitioner | 340 Hodgson Ct Ste 2, Savannah, GA 31406-1523 | 2020-07-14 |
| 1841814753 | Billie Sweeney | Nurse Practitioner | 134 Horse Creek Rd, Savannah, TN 38372-2984 | 2020-06-05 |
| 1609401140 | Malika Anderson Batie | Nurse Practitioner | 1632 Cloverdale Dr, Savannah, GA 31415-7814 | 2020-03-05 |
| 1760017206 | Evelia Johnsen | Nurse Practitioner | 11702 Mercy Blvd Ste 2g, Savannah, GA 31419-1777 | 2020-03-05 |
| Find all providers in SAVANNAH | ||||
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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.