KELLI NICHOLE ADAMS (ACNP) – Acute Care Nurse Practitioner, NPI 1104070457

KELLI NICHOLE ADAMS (ACNP) is a healthcare provider. based in Gainesville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 164623 (GA). The NPI Number for KELLI NICHOLE ADAMS (ACNP) is 1104070457

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KELLI NICHOLE ADAMS (ACNP)
NPI
1104070457
Phone
(770) 282-8820
Address
200 W ACADEMY ST
Enumeration Date
13 November 2008
Last Update Date
8 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047787525
Graduation Year
2004 (22 years ago)
PAC ID
2264567783
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20100322000815
Address ID
GA303221013AT1365XNEXX400

Contacts

Secure Messaging
kadams29927@nghs.gadirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for KELLI NICHOLE ADAMS (ACNP)

  • 200, West Academy Street, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305018568

    Phone: (770) 282-8820

    Type: Location

  • 5875 Thompson Mill Rd

    Suite 100

    Hoschton, GA 30548

    Phone: (770) 848-6195

    Fax: (770) 848-6196

    Type: Location

  • 743 Spring St NE

    Gainesville, GA 30501

    Phone: (770) 219-9000

    Fax: (770) 219-6021

    Type: Location

  • 200 W Academy St

    Gainesville, GA 305018568

    Phone: (770) 282-8820

    Type: Location

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 2578 HELEN HWY

    CLEVELAND, GA 305282848

    Phone: (770) 219-9260

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Haemonetics Corporation ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Haemonetics Corporation$14
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: 2010-03-22

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
I20100322000815INurse 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 minutes3939$0
99291Critical care, first 30-74 minutes2220$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

What is the standard ID for KELLI NICHOLE ADAMS (ACNP) in the U.S.?
In the U.S., KELLI NICHOLE ADAMS (ACNP) is identified by NPI 1104070457.
Does the public listing show KELLI NICHOLE ADAMS (ACNP) as active?
KELLI NICHOLE ADAMS (ACNP)'s NPI record reflects an active status in NPPES.
What type of care does KELLI NICHOLE ADAMS (ACNP) provide?
KELLI NICHOLE ADAMS (ACNP)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELLI NICHOLE ADAMS (ACNP) tied to Gainesville, Georgia?
If you are local to Gainesville, Georgia, KELLI NICHOLE ADAMS (ACNP) may be relevant to your search.
Who maintains KELLI NICHOLE ADAMS (ACNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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