KELLY WILLIAMS CROWE – Nurse Practitioner, NPI 1255816658

KELLY WILLIAMS CROWE is a healthcare provider. based in Athens, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. 237697 (GA). The NPI Number for KELLY WILLIAMS CROWE is 1255816658

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KELLY WILLIAMS CROWE
NPI
1255816658
Phone
(678) 274-2215
Address
421 BOULEVARD
Enumeration Date
2 October 2018
Last Update Date
4 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064755076
Graduation Year
2018 (8 years ago)
PAC ID
1153667753
Group Practice PAC ID
6305196411
Professional Enrollment ID
I20190117002048
Address ID
GA306062797AT1199XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for KELLY WILLIAMS CROWE

  • 421, Boulevard, Athens, Athens-Clarke County, Georgia, 30601, United States

    ATHENS, GA 306011964

    Phone: (678) 274-2215

    Type: Mailing

  • Athens Regional Medical Center, 1199, Prince Avenue, Normaltown, Athens, Athens-Clarke County, Georgia, 30606, United States

    ATHENS, GA 306062797

    Phone: (678) 274-2215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($43).

Total Amount

$76

General + Research + Ownership

Payments

4

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-01-17

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
I20190117002048INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30601)

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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: 6305196411View full group profile
NameSpecialtyState
Psychiatry, Neurology, NephrologyFL
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Internal MedicineGA
N E U R O L O G YOR
Hospitalist, Internal MedicineAZ
Hospitalist, Internal MedicineGA
-KY
Internal MedicineGA

Reviews

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Frequently asked questions

Does KELLY WILLIAMS CROWE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY WILLIAMS CROWE uses 1255816658.
Is KELLY WILLIAMS CROWE still practicing?
KELLY WILLIAMS CROWE is currently listed as active in the public NPI registry.
What healthcare role does KELLY WILLIAMS CROWE hold?
Scheduling teams often label KELLY WILLIAMS CROWE under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KELLY WILLIAMS CROWE on a map?
Expect Athens, Georgia as a primary anchor for KELLY WILLIAMS CROWE unless the record lists multiple sites.
Why does KELLY WILLIAMS CROWE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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