KELLY M CRENSHAW


Address: 5455 Meridian Marks Rd Ne, Suite 130, Atlanta, GA 30342-1654
Phone: 4042552033

KELLY M CRENSHAW (NPI# 1639128218) 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) 1639128218
Entity Type Individual
Full Name KELLY M CRENSHAW
Other Name KELLY M GOLDICK
Credential CPNP
Practice Address 5455 Meridian Marks Rd Ne
Suite 130
Atlanta
GA 30342-1654
Practice Telephone 4042552033
Practice Fax Number 4042521901
Mailing Telephone 4042552033
Mailing Fax Number 4042521901
Enumeration Date 2006-05-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
RN159090 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY CRENSHAW

NPI Name Taxonomy Address Enumeration
1649694662 Kelly L Crenshaw Clinical Neuropsychologist 12 Bellwether Way Ste 240, Bellingham, WA 98225-2959 2014-02-11
1790161263 Kelly Crenshaw Nurse Practitioner 1055 Dresser Ct, Raleigh, NC 27609-7323 2015-08-06

Office Location

Street Address 5455 MERIDIAN MARKS RD NE
SUITE 130
City ATLANTA
State GA
Zip Code 30342-1654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366441941 John Christopher Bleacher Surgery 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 2005-07-18
1871836197 Blaire Hatcher Holbrook Nurse Practitioner 5455 Meridian Marks Rd Ne, Suite 540, Atlanta, GA 30342-1654 2013-04-04
1093063273 Lyndsey Lea Mcdonald Nurse Practitioner 5455 Meridian Marks Rd Ne, Atlanta, GA 30342-1654 2012-08-20
1871877936 Adam Jacob Ayer Nurse Practitioner 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 2011-10-06
1104114289 Heather Denise Carlson Audiologist 5455 Meridian Marks Rd Ne, Suite 130, Atlanta, GA 30342-1654 2011-07-11
1124328703 Erin Lynaugh Connelly Nurse Practitioner 5455 Meridian Marks Rd Ne, 4th Floor, Atlanta, GA 30342-1654 2010-10-28
1558671396 Angelyn Isbell Harber Audiologist 5455 Meridian Marks Rd Ne, Suite 130, Atlanta, GA 30342-1654 2010-10-14
1205154069 Abigail Dahl Ivie Nurse Practitioner 5455 Meridian Marks Rd Ne, Suite 130, Atlanta, GA 30342-1654 2010-05-04
1437481900 Wendy Jacek Nurse Practitioner 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 2010-02-08
1801121827 Mary Ellen Ferrand Nurse Practitioner 5455 Meridian Marks Rd Ne, Suite 130, Atlanta, GA 30342-1654 2009-10-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1255945184 Jennifer Lynne Cole Behavior Technician 5555 Glenridge Con Suite 200, Atlanta, GA 30342 2020-09-08
1093336232 Van Tran Respiratory Therapist, Registered 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 2020-04-28
1356978340 Twyla Douglas Jackson I Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2020-03-27
1760013411 Emily Hamm Dietitian, Registered 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 2020-01-31
1043855984 Mackenzie Tucker Wayda Registered Nurse 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 2019-11-14
1386288454 Tiauna Lashun Cochman Psychologist 1307 Glenridge Dr, Sandy Springs, GA 30342 2019-11-01
1164074399 Stephen J. White Hearing Instrument Specialist 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 2019-07-09
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518565811 Rebecca Danielle Wegman Nurse Practitioner 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 2020-10-09
1629675657 Casey Cullins Nurse Practitioner 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 2020-10-02
1538798095 Brittany Nicole Heitkamp Nurse Practitioner 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 2020-04-06
1093342131 Lindsay Pare Nurse Practitioner 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 2020-03-26
1487290581 Fawn Aryana Hastay Nurse Practitioner 1400 Tullie Rd Ne Fl 6, Atlanta, GA 30329-2309 2019-11-23
1245798057 Rebecca Emory Nurse Practitioner 975 Johnson Ferry Rd Ste 340, Atlanta, GA 30342-4735 2019-03-11
1497265904 Stephanie Edlhuber Nurse Practitioner 1100 Lake Hearn Dr Ste 100, Atlanta, GA 30342-1524 2017-10-10
1275074924 Anna Louise Kelly Nurse Practitioner 993 Johnson Ferry Rd # 440, Atlanta, GA 30342-1620 2017-03-14
1518410984 Brie Batchelor Baxter Nurse Practitioner 5461 Meridian Marks Rd, Suite 200, Atlanta, GA 30342 2016-08-02
1649630310 Mary Bertossi Nurse Practitioner 1800 Howell Mill Rd Nw Ste 475, Atlanta, GA 30318-0920 2016-02-24
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Competitor

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City ATLANTA
Zip Code 30342

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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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