KELLY TEED (NPI# 1528466679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528466679 |
| Entity Type | Individual |
| Full Name | KELLY TEED |
| Credential | MMSC, CGC |
| Practice Address |
1267 Highway 54 W Suite 4000 Fayetteville GA 30214-2114 |
| Practice Telephone | 7707196096 |
| Practice Fax Number | 7709167598 |
| Mailing Telephone | 7707196096 |
| Mailing Fax Number | 7709167598 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2015-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Street Address |
1267 HIGHWAY 54 W SUITE 4000 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902107 | Charles William Pettus | Internal Medicine | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-2114 | 2005-06-15 |
| 1811398233 | Leah Keith | Nurse Practitioner | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2014-09-05 |
| 1083024095 | Hannah Katharine Shell | Nurse Practitioner | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-2114 | 2014-04-29 |
| 1407194558 | Georgia Urology Pa | Urology | 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214-2114 | 2013-01-24 |
| 1750679775 | Lilibird Pichardo | Obstetrics & Gynecology | 1267 Highway 54 W, Suite 3200, Fayetteville, GA 30214-2114 | 2011-07-11 |
| 1598080129 | David G Tian | Internal Medicine | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2010-04-07 |
| 1871720003 | Joseph Lavallo | Nurse Practitioner | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2009-06-15 |
| 1477714517 | Ryan K. Crisel | Internal Medicine | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2110 | 2008-06-20 |
| 1740447820 | David Jaehan Yoo | Internal Medicine | 1267 Highway 54 W, Suite 5400, Fayetteville, GA 30214-2114 | 2008-05-17 |
| 1184800534 | Sanjay Sarin | Internal Medicine | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936047 | Olivia Harber | Genetic Counselor, MS | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-06-15 |
| 1669546867 | Noelle R Agan | Genetic Counselor, MS | 2907 E Joyce Blvd, Bldg II, Fayetteville, AR 72703-5011 | 2006-11-20 |
| 1639281959 | Lisa Renae Douglas | Genetic Counselor, MS | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1275003527 | Victoria Lynn Weber | Genetic Counselor, MS | 1447 Harper St # Bp5353, Augusta, GA 30912-0020 | 2018-11-29 |
| 1841773397 | Palak Bawa | Genetic Counselor, MS | 550 Peachtree St Ne Ste 1502, Atlanta, GA 30308-2247 | 2018-09-11 |
| 1316423759 | Dillon Davis | Genetic Counselor, MS | 1800 Howell Mill Rd Nw Ste 625, Atlanta, GA 30318-2538 | 2018-07-18 |
| 1881045144 | Melanie Hardy | Genetic Counselor, MS | 5115 New Peachtree Rd Ste 301, Atlanta, GA 30341-3326 | 2016-06-28 |
| 1336518521 | Sarah Siddiqui | Genetic Counselor, MS | 320 Kennestone Hospital Blvd Ste 216, Marietta, GA 30060-1140 | 2015-09-18 |
| 1508242157 | Christine Redulla Tallo | Genetic Counselor, MS | Tufts House 2004 Ridgewood Dr, Atlanta, GA 30322-1020 | 2015-08-05 |
| 1063819126 | Alekhya Narravula | Genetic Counselor, MS | 784 Ponce De Leon Pl Ne Apt 101, Atlanta, GA 30306-4152 | 2014-12-04 |
| 1568878155 | Yunru Shao | Genetic Counselor, MS | 6008 Oak Park Cir Ne, Atlanta, GA 30324-5294 | 2014-07-03 |
| 1942611348 | Darnell Phillips | Genetic Counselor, MS | 2115 Piedmont Rd Ne, 3112, Atlanta, GA 30324-4154 | 2014-05-19 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on KELLY TEED.
| 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.