NPI age
16 years
Enumerated 2009-11-13
● Active
Type 1 · Individual
Nicholas Owen Kelley, M.D.
Kelley is 1 of 52 pediatrics providers in Decatur and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Licensed in
SC
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-05-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-11Enumerated in NPPES
2009
2026
Where they practice
Practice location
125 Clairemont Ave Ste 190
Decatur, GA 30030
Mailing address
1875 Century Blvd Ne Ste 150
Atlanta, GA 303453323
Additional practice locations
1 secondary location on file with NPPES.
Location 2
201 E Broad St
Spartanburg, SC 296033233
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 356750 |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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