P Praxis·MD
● Active Type 1 · Individual

DR. Kelly Withers West, M.D.

Pediatrics·Atlanta, GA· NPI 1548426323 · Enumerated 2008 · 17 years on NPI
West is 1 of 551 pediatrics providers in Atlanta and 1 of 2726 in Georgia.
NPI age
17 years
Enumerated 2008-07-31
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
IL, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
1100 Lake Hearn Dr Ste 100
Atlanta, GA 303421524
📞 4042569809
Mailing address
1100 Lake Hearn Dr Ste 100
Atlanta, GA 303421524
📞 4042569809

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    IL license #125050671GA license #65515 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (GA) 65515 GEORGIA
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 2 new pediatrics providers have been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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