KELLY ANN BORDERS (APRN-C) – Adult Health Nurse Practitioner, NPI 1043339302

KELLY ANN BORDERS (APRN-C) is a healthcare provider. based in Smyrna, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-C. They hold a License No. RN175274 (GA). The NPI Number for KELLY ANN BORDERS (APRN-C) is 1043339302

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ANN BORDERS (APRN-C)
NPI
1043339302
Phone
(770) 792-6262
Address
4441 ATLANTA RD SE STE 319
Enumeration Date
28 March 2007
Last Update Date
29 July 2019

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2006 (20 years ago)
PAC ID
4880851401
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20120208000852
Address ID
GA301527742KE5150XRDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KELLY ANN BORDERS (APRN-C)

  • 4441 ATLANTA RD SE STE 319

    SMYRNA, GA 300806443

    Phone: (770) 792-6262

    Type: Mailing

  • 116 Upper Riverdale Rd SW

    Riverdale, GA 302742527

    Phone: (770) 907-3570

    Fax: (770) 991-6502

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $228.

Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($103).

Total Amount

$228

General + Research + Ownership

Payments

10

Total payment records

General Amount

$228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120208000852INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5747$0
99214Established patient office or other outpatient visit, 30-39 minutes4227$0
99215Established patient office or other outpatient visit, 40-54 minutes3414$0
99443Telephone medical discussion with physician, 21-30 minutes2911$0
View full utilization report →

Insurance plans in this area (ZIP 30080)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to KELLY ANN BORDERS (APRN-C)?
NPI 1043339302 is assigned to KELLY ANN BORDERS (APRN-C) under the national enumeration system.
Is KELLY ANN BORDERS (APRN-C)'s NPI currently valid?
The extract we use shows KELLY ANN BORDERS (APRN-C) as active.
Does KELLY ANN BORDERS (APRN-C) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for KELLY ANN BORDERS (APRN-C). Clinical services aligned with this taxonomy classification.
What location shows for KELLY ANN BORDERS (APRN-C)?
We surface Smyrna, Georgia for KELLY ANN BORDERS (APRN-C) based on available NPPES addresses.
Is KELLY ANN BORDERS (APRN-C) a real provider?
This page reflects official NPPES data for NPI 1043339302. Always confirm identity and privileges with the practice and licensing boards.

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