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Contact Information

KELLI N ADAMS, NP
743 SPRING ST NE
GAINESVILLE, GA30501
 Phone: 770-219-9000
 Fax: 770-219-6021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLI N ADAMS · (Female)

NPI Number 1104070457
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/13/2008
Last updated 12/04/2018 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 164623
  • GA License # RN164623
  • GA Medicaid 957403077O
  • GA Medicaid 957403077P
  • GA Medicaid 957403077Q
  • GA Medicaid 957403077R
  • GA Other 05953166 AMERIGROUP
Hospital affiliation(s)
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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