P Praxis·MD
● Active Type 1 · Individual

Kelly Board, APRN, NP-C

Nurse Practitioner·Atlanta, GA· NPI 1649719915 · Enumerated 2017 · 9 years on NPI
Board is 1 of 179 nurse practitioner providers in Atlanta and 1 of 806 in Georgia.
NPI age
9 years
Enumerated 2017-02-19
Primary specialty
Nurse Practitioner
Plus 12 subspecialties
Licensed in
MI, IL, CO, AZ, TX, GA, VA, TN, OH, LA, FL, NC, SC
13 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
9 years
↓ 2 yr below median (11 yr)
State licenses
13 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-02Enumerated in NPPES
2017 2026

Where they practice

Practice location
1055 Howell Mill Rd Nw
Atlanta, GA 303185557
📞 8668490692fax 8889738821
Mailing address
Po Box 211699
Eagan, MN 551213699
📞 8668490692fax 8889738821

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    MI license #4704272053IL license #209028496CO license #CAPN.0101629AZ license #303204TX license #1102491GA license #GAA-NP003047VA license #0024194779TN license #37319OH license #0033314LA license #244045FL license #APRN9482729NC license #5018989SC license #29709 taxonomy 363LA2200X

Identifiers

TypeValueNotes
05 (FL) 024999700
Multi-state credentialing: Licensed in 13 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.

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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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