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

Kelly Skoner

Individual provider Family Nurse Practitioner · NPI 1710517388

Kelly Skoner is a Nurse Practitioner in Douglasville, Georgia. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

3872 Highway 5
Douglasville, GA 30135-3366
Phone: (770) 949-5535
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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 RN267340 (GA)

Record details

NPI number1710517388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2020
Last updated in NPPESApril 9, 2023
Certification dateApril 9, 2023
Mailing address180 Saddle Horse Ln, Hiram, GA 30141-2379

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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