DR. SCOTT A. KELLY (NPI# 1003803404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003803404 |
| Entity Type | Individual |
| Full Name | DR. SCOTT A. KELLY |
| Credential | M.D. |
| Practice Address |
6635 Lake Dr Morrow GA 30260-2354 |
| Practice Telephone | 7709681323 |
| Practice Fax Number | 7709684556 |
| Mailing Telephone | 7709681323 |
| Mailing Fax Number | 7709684556 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 044256 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000955787A | 05 | |
| GA | 000955787D | 05 | |
| GA | 000955787F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891526 | Scott Andrew Kelly | Military Health Care Provider | 242 Avenida Pelayo Unit A, San Clemente, CA 92672-5033 | 2020-01-29 |
| 1356882625 | Scott Kelly | Specialist/Technologist | 21840 Nw 218th Ter, High Springs, FL 32643-9081 | 2017-03-20 |
| 1609998632 | Scott Michael Kelly | Specialist/Technologist | 1701 E Colter St Apt 209, Phoenix, AZ 85016-3374 | 2007-04-03 |
| 1477632396 | Scott S Kelly | Dentist | 116 W John St, Maumee, OH 43537-2145 | 2006-11-02 |
| 1467434357 | Scott Patrick Kelly | Emergency Medicine | Oaklawn Hospital, 200 N. Madison St., Marshall, MI 49068 | 2005-11-16 |
| 1295211001 | Scott Edward Kelly | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2018-07-15 |
| 1811126105 | Scott Douglas Kelly | Ophthalmology | 2610 S Ih 35, Austin, TX 78704-5703 | 2009-07-07 |
| 1184892051 | Scott A Kelly | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2008-02-13 |
| 1548389166 | Scott Andrew Kelly | Chiropractor | 16902 Southwest Fwy, Suite 100, Sugar Land, TX 77479-2350 | 2007-03-28 |
| 1215088406 | Scott M Kelly | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 | 2007-01-15 |
| Street Address |
6635 LAKE DR |
| City | MORROW |
| State | GA |
| Zip Code | 30260-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720977 | Scott J Cahoon | Orthopaedic Surgery | 6635 Lake Dr, Morrow, GA 30260-2354 | 2005-09-19 |
| 1255776902 | Angela E. Cochran | Registered Nurse | 6635 Lake Dr, Morrow, GA 30260-2354 | 2013-05-08 |
| 1487907440 | Spencer O. Rowland | Physician Assistant | 6635 Lake Dr, Morrow, GA 30260-2354 | 2012-10-16 |
| 1386974251 | Ashley Elaine Martin | Nurse Practitioner | 6635 Lake Dr, Morrow, GA 30260-2354 | 2009-12-28 |
| 1851588610 | Stephanie W. Clark | Occupational Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2007-09-26 |
| 1801007414 | Tawiah Shukura Sanders | Physical Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2007-05-25 |
| 1407983646 | Resurgens, PC | Orthopaedic Surgery | 6635 Lake Dr, Morrow, GA 30260-2354 | 2007-02-27 |
| 1205993391 | David A Flores | Specialist/Technologist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2007-01-02 |
| 1740227883 | Mark N. Mitchell | Physical Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2006-05-31 |
| 1265490031 | Robin A. Miller | Occupational Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2006-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
| 1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
| 1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
| 1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
| 1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
| 1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
| 1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
| 1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
| Find all providers in zip 30260 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647274 | L&d Medical Center, LLC | Physical Medicine & Rehabilitation | 5041 Dallas Hwy Ste G, Powder Springs, GA 30127-6458 | 2020-07-27 |
| 1184262651 | Optimal Joint & Neurorehab LLC | Physical Medicine & Rehabilitation | 4245 Deercrest Dr, Valdosta, GA 31602-7612 | 2019-12-16 |
| 1972147379 | Ortho Sport & Spine Physicians Albany | Physical Medicine & Rehabilitation | 614 N Westover Blvd, Albany, GA 31707-2187 | 2019-10-30 |
| 1093359382 | Atlanta Innovative Medicine, LLC | Physical Medicine & Rehabilitation | 8460 Holcomb Bridge Rd Ste 200, Alpharetta, GA 30022-6868 | 2019-10-30 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1366919383 | Heather Leigh Stewart | Physical Medicine & Rehabilitation | 1010 Mary St, Waycross, GA 31503-3849 | 2018-10-29 |
| 1356827869 | Rehab and Beyond, Inc. | Physical Medicine & Rehabilitation | 2197 Young Rd, Stone Mountain, GA 30088-4107 | 2018-07-17 |
| 1346735982 | Xyz Medical | Physical Medicine & Rehabilitation | 9 Russell Dr Ste 201, Ellijay, GA 30540-5573 | 2018-06-26 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1053819854 | Orthoatlanta, LLC | Physical Medicine & Rehabilitation | 455 Legends Pl Se Ste 890, Atlanta, GA 30339-4245 | 2018-01-26 |
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| 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.