Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861729709 Individual Practitioner Male Practitioner

Dr. Nicholas Owen Kelley , MD

Pediatrics • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Kelley, MD is a registered healthcare professional specializing in Pediatrics in Decatur, GA. Practice services are available at 125 CLAIREMONT AVE STE 190 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 Clairemont Ave Ste 190

Decatur, GA 30030

Telephone 4047489691

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Decatur, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License SC 35675

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
356750 (SC)

Secondary Practice Locations

201 E Broad St

Spartanburg, SC 296033233

Phone: 8647072135

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Megan Byrne , CPNP

Nurse Practitioner - Pediatrics

NPI 1144780263

Certified Pediatric Nurse Practitioner

Amalia Mcsherry , FNP

Nurse Practitioner - Family

NPI 1164865168

Family Nurse Practitioner

Korinne Mcnally

Registered Nurse

NPI 1265259253
Katherine Bryan , NP

Nurse Practitioner - Pediatrics

NPI 1487304283

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 07, 2019

Registered at 125 CLAIREMONT AVE STE 190, DECATUR, GA 30030 (Tel: 4047489691)

📍
Updated Business Mailing Address May 07, 2019

Registered at 1875 CENTURY BLVD NE STE 150, ATLANTA, GA 303453323 (Tel: 4046334595)

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2016

Registered at 201 E BROAD ST, SPARTANBURG, SC 296033233 (Tel: 8647072135)

📍
Updated Business Mailing Address September 13, 2016

Registered at 1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 296154210

👤
Provider Name / Credentials Updated September 13, 2016

Recorded as NICHOLAS KELLEY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Pediatrics (License #35675 in SC)

🟢
Initial NPI Registration & Enumeration November 13, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861729709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2009
Last Update: May 07, 2019
Sole Proprietor: No

Mailing Address

1875 Century Blvd Ne Ste 150

Atlanta, GA 303453323

Phone: 4046334595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.