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

Nicholas Kelly, MD

Individual provider Pediatrics Physician · NPI 1083876890

Nicholas Kelly, MD is a Pediatrics Physician in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1558 Riverstone Pkwy Ste 100
Canton, GA 30114-2888
Phone: (404) 785-5437
Fax: (404) 785-4683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 73648 (GA)

Record details

NPI number1083876890
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESJune 6, 2022
Mailing address1558 Riverstone Pkwy Ste 100, Canton, GA 30114-2888

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