Mrs Kelly Marie Porche, PA-C in Decatur, GA - Physician Assistant

Mrs Kelly Marie Porche, PA-C is a Physician Assistant based in Decatur, Georgia. Mrs Kelly Marie Porche is licensed to practice in Georgia (license number 8252) and her current practice location is 2701 N Decatur Rd, Decatur, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 230-4571.

NPI number for Mrs Kelly Marie Porche is 1093190514 and her current mailing address is 2795 Roxburgh Dr, Roswell, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093190514.

Contact Information

	Mrs Kelly Marie Porche, PA-C
	2701 N Decatur Rd, Decatur, GA 30033-5918
	(678) 230-4571
	Not Available

Provider's Profile

Full Name	Mrs Kelly Marie Porche
Gender	Female
Speciality	Physician Assistant
Location	2701 N Decatur Rd, Decatur, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1093190514
Provider Enumeration Date: 07/27/2015
Last Update Date: 03/21/2017

Medical Identifiers

Medical identifiers for Mrs Kelly Marie Porche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093190514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	8252 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Marie Porche is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kelly Marie Porche, PA-C 2795 Roxburgh Dr, Roswell, GA 30076-2450 Ph: (678) 230-4571	Mrs Kelly Marie Porche, PA-C 2701 N Decatur Rd, Decatur, GA 30033-5918 Ph: (678) 230-4571

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Physician Assistant Nurses in Decatur, GA

Mr. Ronald Gene Sanders Ii, RONALD SANDERS Physician Assistant Medicare: Medicare Enrolled Practice Location: 4325 Old Lake Dr, Decatur, GA 30034 Phone: 770-843-0929
Ms. Carol T Mcclendon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Rhea V Douglas, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-4600 Fax: 404-320-0987
Allyson Ashton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000
Mrs. Daviea Antoinette Taylor-hicks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 250 N Arcadia Ave, Decatur, GA 30030 Phone: 404-321-6111 Fax: 404-417-2903
Amanda Singh, M.P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2675 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-1678
Theresa Ann Johnson, PHD, MSHSA, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-417-1525

Mrs Kelly Marie Porche, PA-C - Physician Assistant in Decatur, GA