NPI age
18 years
Enumerated 2008-04-02
● Active Type 2 · Organization
Diane C Kelly Dmd, Pc
Diane C Kelly Dmd, Pc is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kelly
Owner - And Provider
Last NPPES update
2008-08-19
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
655 Jesse Jewell Pkwy Se
Gainesville, GA 30501
Mailing address
655 Jesse Jewell Pkwy Se
Gainesville, GA 30501
Authorized official
Diane C Kelly, DMD
Owner - And Provider
📞 6787147011
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Holly Archer, FNP-BC Nurse Practitioner NPI 1740268101
- Marlyn Betancourt, D.M.D. Dentist NPI 1033319520
- Kayleigh Biskup, FNP-C Nurse Practitioner NPI 1144909839
- Shaun Brennan, PT Physical Therapist NPI 1346304656
- Hugh Cornelson, FNP-C Nurse Practitioner NPI 1053899682
- James Davis, ATC Specialist/Technologist NPI 1356336606
- Katie Davis, ATC/L Specialist/Technologist NPI 1871787465
- Katherine Deavers, RN, MS, FNP Nurse Practitioner NPI 1760466783
- Peter Edblad, PA-C Physician Assistant NPI 1689554032
- Nagwa Elamin, DDS Dentist NPI 1598836074
- Trevor Ezzell, FNP Nurse Practitioner NPI 1780847699
- Harry Ferran, MD Orthopaedic Surgery NPI 1598788077
- Karen Freeman, FNP-C Nurse Practitioner NPI 1801146402
- Elizabeth Hawkins, PT Physical Therapist NPI 1083749543
- Allison Hedden, PA-C Physician Assistant NPI 1154895332
- Kelly Hemphill, PA-C Physician Assistant NPI 1609049089
- William Jinks, PT Physical Therapist NPI 1215048004
- Lisa Kimbrough-Norton, MS, LAT, ATC Specialist/Technologist NPI 1932171683
- Holmes Marchman, MD Physical Medicine & Rehabilitation NPI 1720068190
- Edward McDonald, MD Psychiatry & Neurology NPI 1376658641
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 186794814A | |
| 05 (GA) | 191450941A | |
| 05 (GA) | 390489607J | |
| 05 (GA) | 000046582Y | |
| 05 (GA) | 919057925B | |
| 05 (GA) | 514725717B | |
| 05 (GA) | 000851727B | |
| 05 (GA) | 609963109E | |
| 05 (GA) | 218323780A | |
| 05 (GA) | 609963109L |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Childrens Dentistry at Hamilton Mill & Gainesville
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.