SEAN PATRICK KELLY


Address: 2000 10th Ave, Suite 270, Columbus, GA 31901-3700
Phone: 7065711011

SEAN PATRICK KELLY (NPI# 1275803108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275803108
Entity Type Individual
Full Name SEAN PATRICK KELLY
Credential ACNPC
Practice Address 2000 10th Ave
Suite 270
Columbus
GA 31901-3700
Mailing Address Po Box 370
Fortson
GA 31808-0370
Practice Telephone 7065711011
Practice Fax Number 7069926595
Mailing Fax Number 7064943008
Enumeration Date 2012-01-10
Last Update Date 2020-09-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner CRNP 1-114327 AL Physician Assistants & Advanced Practice Nursing Providers
Y 363L00000X Nurse Practitioner RN228991 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers SEAN KELLY

NPI Name Taxonomy Address Enumeration
1326659202 Sean Michael Kelly Counselor 1407 Dellwood Dr, Louisville, KY 40216-4070 2020-08-13
1811510894 Sean Kelly Registered Nurse 530 Virginia Dr, Lake Worth, FL 33461-5751 2020-05-25
1396275327 Sean Brett Kelly Dentist 13590b North Meridian Street, 101, Carmel, IN 46032-1409 2017-06-13
1073058582 Sean Kelly Physician Assistant Cmr 411 Box 2507, Apo, AE 09112-0026 2016-12-20
1326499088 Sean Kelly Internal Medicine 2401 Laura Cir, Papillion, NE 68046-4216 2016-06-23
1013367069 Sean Kelly Psychologist 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 2016-06-20
1821456559 Sean Kelly Counselor 10564 Se Washington Street, Portland, OR 97216 2016-02-09
1346660735 Sean Kelly Occupational Therapist 556 Bay Rd, South Easton, MA 02375-1415 2014-04-24
1063851509 Sean Michael Kelly Internal Medicine 606 Beech St, Township of Washington, NJ 07676-4332 2013-06-18
1154663607 Sean Patrick Kelly Orthopaedic Surgery 55 Fruit St # 125n-260, Boston, MA 02114 2013-03-22

Office Location

Street Address 2000 10TH AVE
SUITE 270
City COLUMBUS
State GA
Zip Code 31901-3700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134126378 Robert M Harris Orthopaedic Surgery 2000 10th Ave, Suite 270, Columbus, GA 31901-3700 2005-07-01
1245765437 Elizabeth Brown Genetic Counselor, MS 2000 10th Ave, Suite 100, Columbus, GA 31901-3700 2017-04-25
1043678923 Claire Wright Thompson Nurse Practitioner 2000 10th Ave, Suite 100, Columbus, GA 31901-3700 2016-02-05
1275935918 Sarah Kathryn Hester Hall Nurse Practitioner 2000 10th Ave, Suite 400, Columbus, GA 31901-3700 2014-09-25
1477983013 Hughston Clinic PC Durable Medical Equipment & Medical Supplies 2000 10th Ave, Suite 270, Columbus, GA 31901 2013-11-18
1760816102 Wendy Wall Nurse Practitioner 2000 10th Ave, Suite 380, Columbus, GA 31901-3700 2013-08-21
1851650816 Abhilasha Pandey Family Medicine 2000 10th Ave, Columbus, GA 31901-3700 2012-05-11
1023388071 Kashmira D Parekh Md P C Preferred Provider Organization 2000 10th Ave, Suite 210, Columbus, GA 31901-3700 2012-01-09
1649559998 Angie Michelle Vines Nurse Practitioner 2000 10th Ave, Suite 410, Columbus, GA 31901-3700 2011-08-04
1346528536 Brittany Wheeler Renfroe Physician Assistant 2000 10th Ave, Suite 320, Columbus, GA 31901-3700 2011-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790396984 Chisholm Trail Urgent Care Pllc Emergency Medicine 11 Tsys Way, Columbus, GA 31901 2020-08-12
1770040099 Columbus Ga Homecare, LLC In Home Supportive Care 1501 13th Street., Suite G, Columbus, GA 31901 2019-02-22
1750868782 Health Matters, Inc. Clinic/Center 1124 13th St, Columbus, GA 31901 2018-07-23
1447754197 Charles Chacha Maroa Babere Student in an Organized Health Care Education/Training Program Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 2018-03-19
1861912867 Demetria Laprel Mcgruder Community Health Worker 1230 2nd Ave., Columbus, GA 31901 2017-06-21
1679932016 Crystal Gayle Passmore Counselor 233 12th St Ste 334, Columbus, GA 31901 2016-02-13
1700256344 Kendra Ward Community Health Worker 1230 2nd Avenue, Columbus, GA 31901 2015-09-25
1437556701 Wendy Denise Thomas Adult Companion 1501 13th Street Suite F, Columbus, GA 31901 2014-12-02
1134523996 Danielle Elaine Berry General Practice Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 2014-10-22
1710239330 Kati Michelle Turner Pharmacist 1800 10th Avenue, Columbus, GA 31901 2012-10-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427663665 Antona Deann Napier Nurse Practitioner 1075 Great Oak Dr Apt I, Columbus, OH 43213-4514 2020-09-14
1952913618 Cynthia Marie Nonamaker Nurse Practitioner 4641 Ridge Rd, Columbus, MS 39705-2862 2020-08-23
1467060608 Jessica Workman Nurse Practitioner 4135 Willow Hollow Dr, Columbus, OH 43230-1056 2020-07-14
1578181558 Carolyn Minks Nurse Practitioner 1527 Berkshire Rd, Columbus, OH 43221-3905 2020-07-07
1285268219 Mh 102, PC Nurse Practitioner 1 Aflac Parkway, Columbus, GA 31907 2020-02-28
1831723964 Mh 102, PC Nurse Practitioner 1932 Wynnton Rd, Columbus, GA 31999-0001 2020-02-27
1972136422 Junauh Mariah Allgood Nurse Practitioner 1006 11th Ave N Apt A, Columbus, MS 39701-3543 2020-02-12
1790325660 Lisa Corinne Sofocleous Nurse Practitioner 250 Brodbelt Ln Apt 204, Columbus, OH 43215-2458 2020-01-08
1093366551 Karla Kornsey Nurse Practitioner 23206 Columbus Rd Ste B, Columbus, NJ 08022-1904 2019-09-26
1083263651 Vita Care LLC Nurse Practitioner 1425 Yorkland Road, Columbus, OH 43232-1686 2019-09-06
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Competitor

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City COLUMBUS
Zip Code 31901

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Dataset Information

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.

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