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

Kelly Kotowski

Individual provider Registered Nurse · NPI 1083336994

Kelly Kotowski is a Nurse Practitioner in Marietta, Georgia. Qualified in 2024, 2 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2022
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Practice location Address checks out

400 Tower Rd NE
Marietta, GA 30060-9411
Phone: (770) 422-1372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 677 Church St Ne, Marietta, GA 30060-1101 — (770) 793-5000

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN259635 (GA)

Record details

NPI number1083336994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2022
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address677 Church St Ne, Marietta, GA 30060-1101

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Marietta