Kelley Dawn Harrelson (NPI# 1528428471, PAC ID# 3779871785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528428471 |
| PAC ID by PECOS | 3779871785 |
| Professional Enrollment ID | I20161006001891 |
| Full Name | Kelley Dawn Harrelson |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Address |
759 Old Norcross Rd Lawrenceville GA 30046-4317 |
| Phone Number | 6784423121 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628253424 |
| Number of Group Practice Members | 161 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 6784423121 | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Physicians | 168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica F Wysock | Nurse Practitioner | Northside Surgical Professional Services LLC | 1100 Northside Forsyth Dr, Suite 410, Cumming, GA 30041-6015 |
| Torrance Christopher Laury | Family Medicine | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Tayler Mauldin | Nurse Practitioner | Northside Surgical Professional Services LLC | 460 Northside Cherokee, Suite 410, Canton, GA 30115-8016 |
| Eddie K Abdalla | General Surgery | Northside Surgical Professional Services LLC | 980 Johnson Fy Rd Ne, Suite 170, Atlanta, GA 30342-1607 |
| Soyini Mattis Hawkins | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 11975 Morris Rd, Suite 140, Alpharetta, GA 30005-4444 |
| Grant C Wolfe | General Surgery | Northside Surgical Professional Services LLC | 900 Towne Lake Pkwy, Suite 412, Woodstock, GA 30189-1604 |
| Pauline Elizabeth Mallcott | Qualified Audiologist | Northside Surgical Professional Services LLC | 4150 Deputy Bill Cantrall Memorial Rd, Suite 260, Cumming, GA 30005 |
| Crystal R Dininger | Physician Assistant | Northside Surgical Professional Services LLC | 1366 Wellbrook Cir Ne, Suite B, Conyers, GA 30012-3872 |
| Rama K Rao | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 2001 Peachtree Nerd, Suite 650, Atlanta, GA 30309-1432 |
| Christopher D Killingsworth | Plastic and Reconstructive Surgery | Northside Surgical Professional Services LLC | Atlanta Aesthetics, 4150 Deputy Bill Cantrall Memorial Road Suite 240, Cumming, GA 30040 |
| Street Address |
759 OLD NORCROSS RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip | 30046-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hawa J Kanneh | Nurse Practitioner | Northside Surgical Professional Services LLC | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 |
| Jena D Pugh | Nurse Practitioner | Northside Surgical Professional Services LLC | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chundra Brooks | Nurse Practitioner | Aga Professional Services LLC | 301 Phillip Blvd, Suite A, Lawrenceville, GA 30046 |
| Gail S Hammond | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Kenneth L Knight | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Robert W Stevens | Chiropractic | 368 W Pike St, Suite 202, Lawrenceville, GA 30046-3240 | |
| Mehdi Kazemzadeh | Optometry | 575 Professional Dr, Suite 100, Lawrenceville, GA 30046-3300 | |
| Raymond L Stovall | Internal Medicine | 575 Professional Dr, Suite 310, Lawrenceville, GA 30046-3300 | |
| Jeffrey D Zwiren | Plastic and Reconstructive Surgery | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Kelly H Scoggins | Nurse Practitioner | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Pamela A Boyd | Nurse Practitioner | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| William G Tanner Jr. | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Find all physicians in zip 30046 | |||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAWRENCEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelley Dawn Harrelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.