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

Leah Marie Kellogg

Individual provider Acute Care Nurse Practitioner · NPI 1710840269

Leah Marie Kellogg is a Nurse Practitioner in Newnan, Georgia. Qualified in 2025, 1 year ago. Practices with Radiology and Medical Imagery of Newnan PC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
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Practice location Address checks out

745 Poplar Rd
Newnan, GA 30265-1618
Phone: (770) 400-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1255 Highway 54 W, Fayetteville, GA 30214-4526 — (770) 719-7000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN-NP306344 (GA)

Record details

NPI number1710840269
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address398 Mann Rd, Tyrone, GA 30290-1510

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Radiology And Medical Imagery Of Newnan Pc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newnan