MR. KELLY RAY ELLIOTT (FNP) – Family Nurse Practitioner, NPI 1497798532

MR. KELLY RAY ELLIOTT (FNP) is a healthcare provider. based in Chatsworth, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 977575 (GA). The NPI Number for MR. KELLY RAY ELLIOTT (FNP) is 1497798532

Main info

Male
Sole Proprietor
Name
MR. KELLY RAY ELLIOTT (FNP)
NPI
1497798532
Phone
(706) 517-0656
Address
2976 HIGHWAY 76
Enumeration Date
14 June 2006
Last Update Date
11 May 2009
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

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Provider Addresses for MR. KELLY RAY ELLIOTT (FNP)

  • 76, Lassen Street, Chatsworth, Los Angeles, Los Angeles County, California, 91311-4127, United States

    STE B&C

    CHATSWORTH, GA 307056981

    Phone: (706) 517-0656

    Fax: (706) 517-0651

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 30705)

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Reviews

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Frequently asked questions

Is MR. KELLY RAY ELLIOTT (FNP) listed with a National Provider Identifier?
Yes — MR. KELLY RAY ELLIOTT (FNP) has NPI 1497798532 on file in the registry.
Active or inactive — what applies to MR. KELLY RAY ELLIOTT (FNP)?
You should see MR. KELLY RAY ELLIOTT (FNP) as active in CMS-hosted NPPES data.
What kind of doctor is MR. KELLY RAY ELLIOTT (FNP)?
MR. KELLY RAY ELLIOTT (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is MR. KELLY RAY ELLIOTT (FNP) registered?
Use Chatsworth, Georgia as the headline location for MR. KELLY RAY ELLIOTT (FNP) here.
When was this NPI issued?
Enumeration for MR. KELLY RAY ELLIOTT (FNP) is noted as June 14, 2006 where the registry provides it.

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