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

Kelly Jefferson

Individual provider Specialist · NPI 1811254055

Kelly Jefferson is a Specialist in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012

Practice location Address checks out

500 Lanier Ave W Ste 701
Fayetteville, GA 30214-7643
Phone: (770) 460-9122
Fax: (770) 460-9132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence CERTIFICATION (GA)

Record details

NPI number1811254055
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2012
Last updated in NPPESJanuary 2, 2013
Mailing address500 Lanier Ave W Ste 701, Fayetteville, GA 30214-7643

Other providers in Fayetteville