Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Meredith Page Kelleher, MMSC, PA-C

Individual provider Physician Assistant · NPI 1104024496

MS. Meredith Page Kelleher, MMSC, PA-C is a Physician Assistant in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5669 Peachtree Dunwoody Rd NE Ste 170
Atlanta, GA 30342-1786
Phone: (404) 252-8377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 04752 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 04752 (GA)

Record details

NPI number1104024496
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMSC , PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2007
Last updated in NPPESJune 7, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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