PAMELA KELLEY


Address: 480 Glynn St N, Fayetteville, GA 30214-1192
Phone: 8663892727

PAMELA KELLEY (NPI# 1598205270) 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) 1598205270
Entity Type Individual
Full Name PAMELA KELLEY
Credential NP-C
Practice Address 480 Glynn St N
Fayetteville
GA 30214-1192
Mailing Address 110 Windridge Drive
Fayetteville
GA 30215
Practice Telephone 8663892727
Mailing Telephone 6783721846
Enumeration Date 2017-03-01
Last Update Date 2017-09-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN201742 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers PAMELA KELLEY

NPI Name Taxonomy Address Enumeration
1255822110 Pamela Dee Kelley Counselor 720 Nw 6th St, Grants Pass, OR 97526-1524 2018-05-25
1306341508 Pamela Kelley Registered Nurse 2630 Delcrest Dr, Orlando, FL 32817-2661 2018-03-28
1144643545 Pamela Kelley Counselor 1385 Flowering Dogwood Ln Ste D, Dyersburg, TN 38024-6409 2014-01-22
1770182842 Pamela Kelley Counselor 107 Woodbine Pl, Longview, TX 75601-2912 2020-10-20
1518433499 Pamela Kelley Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2018-10-18
1982104055 Pamela Marie Kelley Behavior Technician 538 S Gilbert Rd Ste 101-103, Gilbert, AZ 85296-2268 2018-02-15
1982979431 Pamela Kelley Physical Therapy Assistant 1000 Mckeen Pl, Monroe, LA 71201-4406 2012-03-16
1538436464 Pamela Jean Kelley Nurse Practitioner 1500 E Medical Center Dr, 1h247 Unersity Hospital, Ann Arbor, MI 48109-5048 2011-11-21
1588852107 Pamela Sue Kelley Nurse Practitioner 747 N Rutledge St, Baylis Building, 2nd Floor, Springfield, IL 62702-6700 2007-10-09

Office Location

Street Address 480 GLYNN ST N
City FAYETTEVILLE
State GA
Zip Code 30214-1192

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821191685 Georgia Cvs Pharmacy, L.L.C. Pharmacy 480 Glynn St N, Fayetteville, GA 30214-1192 2006-09-07
1629262936 Virginia Wilson Nurse Practitioner 480 Glynn St N, Fayetteville, GA 30214-1192 2007-08-29

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528674181 Maggie Mullican Nurse Practitioner 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 2020-09-18
1720690167 Stephen Arthur Lepak Nurse Practitioner 6871 Appleton Dr, Fayetteville, PA 17222-9383 2020-08-18
1750990255 Towauna Daya Nurse Practitioner 1338 Redwine Rd, Fayetteville, GA 30215-2509 2020-07-30
1316555642 Constance Ofundem Takang Nurse Practitioner 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 2020-07-22
1851916472 Breanna Mills Nurse Practitioner 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 2020-06-09
1922621069 Laura Sarai Perez Nurse Practitioner 480 Lees Lake Rd, Fayetteville, GA 30214-3106 2020-05-23
1902431125 Crystal Baker English Nurse Practitioner 113 Old Bethel Rd, Fayetteville, TN 37334-6186 2020-03-09
1568092708 Stephanie Elizabeth Fields Nurse Practitioner 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 2020-01-15
1437616364 Andrea Teal Bergman Nurse Practitioner Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 2019-02-27
1639634447 Arica Adams-gro'ce Nurse Practitioner 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 2019-02-06
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 30214

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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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