Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Carrie Kelly, M.D.

Pediatrics Physician in Watkinsville, GA · enumerated 2006 · practices at St. Mary'S Medical Group, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053339200

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Carrie Kelly

Credential M.D.

Sex Female

Practice address 1020 Jamestown Blvd, Bldg 200, Watkinsville, GA, 30677

Phone (706) 769-0005

Enumeration date Jul 17, 2006

Last updated in NPPES Jan 18, 2016

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License TL28040 (SC) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 61103 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
402113351B	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Carrie Kelly?

Carrie Kelly is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

St. Mary'S Medical Group, Inc. Pediatrics Physician · Watkinsville, GA NPI 1588047138

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-18.