Kelly Kallis (NPI# 1831244417, PAC ID# 0446299556) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831244417 |
| PAC ID by PECOS | 0446299556 |
| Professional Enrollment ID | I20050428000298 |
| Full Name | Kelly Kallis |
| Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Address |
4000 Shakerag Hl Suite 301 Peachtree City GA 30269-4047 |
| Phone Number | 7704867100 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284951542 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 | 7704867100 | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Physicians | 225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Deason Perritt | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1218 Alice St, Waycross, GA 31501-4525 |
| Angela Duke | Nurse Practitioner | Privia Medical Group of Georgia LLC | 106 Pilgrim Village Dr, Suite 400, Cumming, GA 30040-9242 |
| Daniel John Callahan | Physician Assistant | Privia Medical Group of Georgia LLC | 100 Genevieve Ct, Suite A, Peachtree City, GA 30269-4868 |
| Holly M Loesch | Obstetrics/gynecology | Privia Medical Group of Georgia LLC | 440 Washington St Se, Gainesville, GA 30501-3619 |
| Lyudmila P Carter | Internal Medicine | Privia Medical Group of Georgia LLC | 109 W Oglethorpe Hwy, Hinesville, GA 31313-3657 |
| Michaela Seward Jones | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1010 E Fwy Dr Se, Conyers, GA 30094-5965 |
| Erin Wells Raser | Physician Assistant | Privia Medical Group of Georgia LLC | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 |
| Morgan Charlotte Jackson | Nurse Practitioner | Privia Medical Group of Georgia LLC | 119 W Hill St, Thomasville, GA 31792-6618 |
| Ashley Paige Keen | Nurse Practitioner | Privia Medical Group of Georgia LLC | 2402 Osler Ct, Albany, GA 31707-0205 |
| Jeanette Dormio | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1655 Lebanon Rd, Suite A, Lawrenceville, GA 30043-5116 |
| Street Address |
4000 SHAKERAG HL SUITE 301 |
| City | PEACHTREE CITY |
| State | GA |
| Zip | 30269-4047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Wells Raser | Physician Assistant | Privia Medical Group of Georgia LLC | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 |
| Ruchir Agrawal | Allergy/immunology | 4000 Shakerag Hl, Suite 300, Peachtree City, GA 30269-4047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Namita Rao | Physical Therapy | Orthoatlanta, LLC | 2785 Hwy 54 W, Peachtree City, GA 30269 |
| David Bowen | Diagnostic Radiology | Outpatient Imaging, LLC | 10 Eastbrook Bend, Peachtree City, GA 30269 |
| Esther Barnes Klein | Nurse Practitioner | Peachtree City Urgent Care, Inc | 8 Eastbrook Bend, Suite B, Peachtree City, GA 30269 |
| Holly S Oclair | Optometry | John L. Henahan, Od, Poc | 361 Hwy 74 N, Peachtree City, GA 30269 |
| Mathew J Autera | Chiropractic | 1952 Hwy 54 W, Peachtree City, GA 30269 | |
| Eric Adam Shearer | Chiropractic | 357 Hwy 74 N, Suite 1, Peachtree City, GA 30269 | |
| Kimberly S Anderson | Optometry | John L. Henahan, Od, Poc | 361 Hwy 74 N, Peachtree City, GA 30269 |
| Tyler J Blomquist | Nurse Practitioner | Peachtree City Urgent Care, Inc | 8 Eastbrook Bend, Suite B, Peachtree City, GA 30269 |
| Tony Chung | Physical Therapy | Orthoatlanta, LLC | 2785 Hwy 54 W, Peachtree City, GA 30269 |
| Stephanie G Caviness | Physician Assistant | Peachtree City Urgent Care, Inc | 8 Eastbrook Bend, Suite B, Peachtree City, GA 30269 |
| Find all physicians in zip 30269 | |||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PEACHTREE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly Kallis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.