DR. PEYTON ROSE KELLY (NPI# 1558845529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558845529 |
| Entity Type | Individual |
| Full Name | DR. PEYTON ROSE KELLY |
| Other Name | ROSIE KELLY |
| Credential | PT, DPT |
| Practice Address |
12 Executive Park Dr Ne Atlanta GA 30329-2206 |
| Mailing Address |
1070 Angelo Ct Ne Atlanta GA 30319-1042 |
| Practice Telephone | 4047787777 |
| Mailing Telephone | 7703152305 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT013607 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1441 Clifton Rd Ne, Atlanta, GA 303221004 | 4047125512 |
| Street Address |
12 EXECUTIVE PARK DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053379669 | Peter Ash | Psychiatry & Neurology | 12 Executive Park Dr Ne, Child Psychiatry, Suite 200, Atlanta, GA 30329-2206 | 2006-05-03 |
| 1114546017 | Joya N Hampton-anderson | Psychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2020-04-10 |
| 1922627116 | Justin Trop | Psychiatry & Neurology | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2020-04-09 |
| 1043852460 | Megan Leigh Goodlin | Social Worker | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-10-17 |
| 1134772056 | Kathleen Dickens Colsson | Nurse Practitioner | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-07-19 |
| 1174185763 | Anastacia A. Nichols | Clinical Neuropsychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-07-03 |
| 1053975268 | Kelsey R Sprang Jones | Psychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-04-24 |
| 1114581436 | Danielle Nichole Wray | Social Worker | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-04-23 |
| 1326500356 | Philip Thomas Bowers | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-03-31 |
| 1740749209 | Mary Coyle | Nurse Practitioner | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558738674 | Hannah Redd | Physical Therapist | 1792 Ridgeway Ave Nw, Atlanta, GA 30318-7512 | 2015-08-24 |
| 1235538877 | Lindsay White Walston | Physical Therapist | 1462 Clifton Rd Ne Ste 312, Atlanta, GA 30322-1000 | 2014-08-20 |
| 1245643626 | Sarah Caston | Physical Therapist | 3036 Clairmont Rd Ne, Apt D, Atlanta, GA 30329-1627 | 2014-06-03 |
| 1013491091 | Christi N Acker | Physical Therapist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2018-09-17 |
| 1457806622 | Colby Evan Wallace | Physical Therapist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2016-08-17 |
| 1255791372 | Deborah Backus | Physical Therapist | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2016-03-02 |
| 1457719346 | Randy Trumbower | Physical Therapist | 1441 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2016-02-05 |
| 1225437866 | Ryan Jacob Boudreaux | Physical Therapist | 1462 Clifton Rd Ne Ste 312, Atlanta, GA 30322-1000 | 2014-08-20 |
| 1124321666 | Niamh Tunney | Physical Therapist | 3001 Mercer University Dr, Suite 106 Davis Building, Atlanta, GA 30341-4115 | 2010-12-06 |
| 1396928644 | Myrtice Barber Atrice | Physical Therapist | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2007-12-10 |
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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.