IndividualActive
Kelly Pettis
NPI 1649939547 · Case Management Agency · Columbus, GA
Kelly Pettis is a Case Management Agency provider in Columbus, GA (NPI 1649939547).
Provider details
- NPI number
- 1649939547
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
22 Artillery Dr
Columbus, GA 31903-4123
Phone: (706) 840-9979
Street-level locationGet directions
Mailing address
22 Artillery Dr
Columbus, GA 31903-4123
Additional practice locations (1)
- 22 Artillery DrColumbus, GA 31903-4123Phone: (706) 840-9979
Registry dates
- Enumerated
- 2021-12-08
- Last updated
- 2021-12-08
- Certified
- 2021-12-08
Frequently asked questions
- What is Kelly Pettis's NPI number?
- Kelly Pettis's National Provider Identifier (NPI) is 1649939547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Pettis's specialty?
- Kelly Pettis is listed in the NPPES registry with a primary specialty of Case Management Agency (Agencies).
- Where is Kelly Pettis located?
- Kelly Pettis's practice location on file with NPPES is 22 Artillery Dr, Columbus, GA 31903-4123.
- What is Kelly Pettis's phone number?
- The practice phone number listed in the NPPES registry for Kelly Pettis is (706) 840-9979.
- Is Kelly Pettis's NPI active?
- Yes — Kelly Pettis's NPI (1649939547) is active in the NPPES registry as of the last update on 2021-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.