Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley Harrelson, RN, FNP

Individual provider Family Nurse Practitioner · NPI 1528428471

Kelley Harrelson, RN, FNP is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2015, 11 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

759 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone: (678) 442-3121
Fax: (678) 376-4045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN170755 (GA)

Record details

NPI number1528428471
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP
Sole proprietorNo
NPI enumeratedMarch 3, 2016
Last updated in NPPESMarch 7, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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