P Praxis·MD
● Active Type 1 · Individual

MRS. Vivian A. Kelley, NP

Chore Provider·Fort Gordon, GA· NPI 1669539094 · Enumerated 2007 · 19 years on NPI
Kelley is 1 of 1 chore provider providers in Fort Gordon and 1 of 23 in Georgia.
NPI age
19 years
Enumerated 2007-01-03
Primary specialty
Chore Provider
Plus 1 subspecialty
Licensed in
AL, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 23 active chore provider providers in Georgia.

NPI age
19 years
↑ 16 yr above median (3 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 309055650
📞 7067872720fax 7067878176
Mailing address
300 W. Hospital Road, Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 309055650
📞 7067872720fax 7067878176

Specialties

  • Chore Provider Primary
    An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household...
    AL license #1-050977 taxonomy 372500000X
  • Nurse Practitioner
    Definition to come...
    GA license #RN159555 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 22 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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