IndividualActive
Kelly Jefferson
NPI 1811254055 · Specialist · Fayetteville, GA
Kelly Jefferson is a Specialist provider in Fayetteville, GA (NPI 1811254055).
Provider details
- NPI number
- 1811254055
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CERTIFICATION (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs 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
500 Lanier Ave W Ste 701
Fayetteville, GA 30214-7643
Phone: (770) 460-9122
Fax: (770) 460-9132
Street-level locationGet directions
Mailing address
500 Lanier Ave W Ste 701
Fayetteville, GA 30214-7643
Registry dates
- Enumerated
- 2012-04-12
- Last updated
- 2013-01-02
Frequently asked questions
- What is Kelly Jefferson's NPI number?
- Kelly Jefferson's National Provider Identifier (NPI) is 1811254055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Jefferson's specialty?
- Kelly Jefferson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kelly Jefferson located?
- Kelly Jefferson's practice location on file with NPPES is 500 Lanier Ave W Ste 701, Fayetteville, GA 30214-7643.
- What is Kelly Jefferson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Jefferson is (770) 460-9122.
- Is Kelly Jefferson's NPI active?
- Yes — Kelly Jefferson's NPI (1811254055) is active in the NPPES registry as of the last update on 2013-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.