Kelly Tickle, PCNS-BC, PPCNP-BC
NPI 1417379538 · Pediatric Nurse Practitioner · Atlanta, GA
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Tickle, PCNS-BC, PPCNP-BC is a Pediatric Nurse Practitioner provider in Atlanta, GA (NPI 1417379538).
Provider details
- NPI number
- 1417379538
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PCNS-BC, PPCNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- APRN-NP228738 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
12 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,414 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-08
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Frequently asked questions
- What is Kelly Tickle's NPI number?
- Kelly Tickle's National Provider Identifier (NPI) is 1417379538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Tickle's specialty?
- Kelly Tickle is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Tickle located?
- Kelly Tickle's practice location on file with NPPES is 5455 Meridian Marks Rd Ste 400, Atlanta, GA 30342-4723.
- What is Kelly Tickle's phone number?
- The practice phone number listed in the NPPES registry for Kelly Tickle is (404) 785-3240.
- Does Kelly Tickle accept Medicare?
- Kelly Tickle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Tickle's NPI active?
- Yes — Kelly Tickle's NPI (1417379538) is active in the NPPES registry as of the last update on 2025-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.