SHANNON D KELLY (NPI# 1679710594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679710594 |
| Entity Type | Individual |
| Full Name | SHANNON D KELLY |
| Credential | LPC |
| Practice Address |
250 North Ave Athens GA 30601-2244 |
| Practice Telephone | 7063896789 |
| Mailing Telephone | (706) 389-6789 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006024 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751262 | Shannon Kathleen Kelly | Physician Assistant | 5800 Central Gardens Way Apt 204, Palm Beach Gardens, FL 33418-4125 | 2019-07-06 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1578991790 | Shannon Kelly | Pharmacist | 2792 Lea Lake Rd, Blaine, TN 37709-5214 | 2013-10-25 |
| 1144483421 | Shannon Elizabeth Kelly | Counselor | 115 E Costilla St, Colorado Springs, CO 80903-2101 | 2008-07-07 |
| 1457313330 | Shannon Kelly | Psychologist | 6001 Brick Ct, Suite 201, Winter Park, FL 32792-9425 | 2006-04-05 |
| 1619593241 | Shannon Marie Kelly | Registered Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-06-19 |
| 1366929747 | Shannon Kelly | Social Worker | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2018-07-27 |
| 1679084172 | Shannon Marie Kelly | Speech-Language Pathologist | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2017-10-24 |
| 1508306309 | Shannon Kelly | Physician Assistant | 159 E 74th St, Second Floor, New York, NY 10021-3235 | 2017-02-28 |
| 1821535741 | Shannon Kelly | Occupational Therapist | 6960 Destiny Dr Ste 112, Rocklin, CA 95677-2995 | 2017-01-30 |
| Street Address |
250 NORTH AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942270558 | Advantage Behavioral Health Systems | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-01-25 |
| 1396367181 | Tracie Rene Tomas | Counselor | 250 North Ave, Athens, GA 30601-2244 | 2020-05-14 |
| 1043832298 | Kathryn Taylor Ashmore | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2020-05-11 |
| 1093335853 | Obianuju Okpala | Nurse Practitioner | 250 North Ave, Athens, GA 30601-2244 | 2020-04-22 |
| 1427694116 | Diane M Hodge | Counselor | 250 North Ave, Athens, GA 30601-2244 | 2019-11-18 |
| 1265092191 | Margaret Molony | Behavioral Analyst | 250 North Ave, Athens, GA 30601-2244 | 2019-06-13 |
| 1407414394 | Brier Wagoner-mccann | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2019-06-05 |
| 1225596802 | Erin Ray | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2019-03-04 |
| 1720583529 | Jessica Wiggs | Counselor | 250 North Ave, Athens, GA 30601 | 2018-03-26 |
| 1164920716 | Ebot B Manga | Nurse Practitioner | 250 North Ave, Athens, GA 30601-2244 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906507 | Kaye Elizabeth Waldrep | Counselor | 330 Winterberry Dr, Athens, GA 30606-3208 | 2020-09-10 |
| 1669094314 | Erica Ashley Dell | Counselor | 1 Huntington Rd Ste 704, Athens, GA 30606-7215 | 2020-05-15 |
| 1871145235 | Jm Professional Counseling Services, Pllc | Counselor | 119 South Palestine St, Athens, TX 75751-8710 | 2019-07-15 |
| 1396225298 | Samuel Ray Evans | Counselor | 1135 Cedar Shoals Dr Ste B, Athens, GA 30605-5299 | 2018-08-20 |
| 1558848598 | Tara Thomas | Counselor | 545 Research Dr Ste D, Athens, GA 30605-2745 | 2018-07-23 |
| 1487151437 | Beth Porter | Counselor | 485 Huntington Rd Ste 196, Athens, GA 30606-1845 | 2018-04-06 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1134666845 | Teresa C Ruiz | Counselor | 585 Research Drive, Suite B, Athens, GA 30605-2761 | 2017-01-20 |
| 1659827673 | Latarious Clark | Counselor | 135 Brentwood Dr, Athens, GA 30605-3901 | 2016-08-30 |
| 1376996017 | Celina Vereen | Counselor | 2340 Prince Ave Ste B, Athens, GA 30606-6004 | 2016-07-18 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on SHANNON D KELLY.
| 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.