IndividualActive
Kelly Phillips, RN
NPI 1477345023 · Gerontology Registered Nurse · Valdosta, GA
Provider details
- NPI number
- 1477345023
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 236257 (GA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
415 Pendleton Pl
Valdosta, GA 31602-2632
Phone: (229) 242-6868
Street-level locationGet directions
Mailing address
415 Pendleton Pl
Valdosta, GA 31602-2632
Registry dates
- Enumerated
- 2025-05-20
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.