MR. KELLY RAY ELLIOTT FNP
NPI 1497798532
Nurse Practitioner - Family in Chatsworth, GA
NPI Status: Active since June 14, 2006
Contact Information
2976 HIGHWAY 76
STE B&C
CHATSWORTH, GA
ZIP 30705
Phone: (706) 517-0656
Fax: (706) 517-0651
- Individual
- Male
- Nurse Practitioner
- Family
- Accepts Insurance
About KELLY ELLIOTT
This page provides the complete NPI Profile along with additional information for Kelly Elliott, a provider established in Chatsworth, Georgia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1497798532 assigned on June 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 977575 (GA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1497798532
- Provider Name
- MR. KELLY RAY ELLIOTT FNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2976 HIGHWAY 76 STE B&C CHATSWORTH, GA 30705
- Location Phone
- (706) 517-0656
- Location Fax
- (706) 517-0651
- Mailing Address
- 2976 HIGHWAY 76 STE B&C CHATSWORTH, GA 30705
- Mailing Phone
- (706) 517-0656
- Mailing Fax
- (706) 517-0651
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-14-2006
- Last Update Date
- 05-11-2009
- Code Navigator
A nurse practitioner (NP) like Kelly Elliott is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 977575
- License State
- GA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 777482691 | MEDICAID (05) | GA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 7 | 9 | 8 | 5 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 9 | 16 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 9 + 1 + 6 + 5 + 6 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1497798532 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093014532 | C-WORTH FAMILY WALK-IN CLINIC, LLC Organization | Health Maintenance Organization | 2976 HIGHWAY 76 SUITE B & C CHATSWORTH, GA 30705 (423) 339-2320 |
| 1982945135 | C-WORTH FAMILY WALK-IN CLINIC Organization | Nurse Practitioner (Family) | 2976 HIGHWAY 76 STE B CHATSWORTH, GA 30705 (706) 517-0656 |
| 1508205006 | C-WORTH FAMILY WALK-IN CLINIC Organization | Clinic/Center (Primary Care) | 2976 HIGHWAY 76 STE B CHATSWORTH, GA 30705 (706) 517-0656 |
| 1275913840 | MARY KWEE APRN Individual | Nurse Practitioner (Family) | 2976 HIGHWAY 76 CHATSWORTH, GA 30705 (706) 517-0656 |
| 1518168681 | ROBIN ROE FNP-BC Individual | Nurse Practitioner (Family) | 2976 HIGHWAY 76 SUITES B & C CHATSWORTH, GA 30705 (706) 517-0656 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497798532, enumerated in the NPI registry as an "individual" on June 14, 2006
The provider is located at 2976 Highway 76 Ste B&c Chatsworth, Ga 30705 and the phone number is (706) 517-0656
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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