MEDICARE: MAVIS KELLEY CHHC, AADP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1952701179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAVIS KELLEY CHHC, AADP

Provider Business Mailing Address
First Line	:	3227 VERDANT DR SW APT 1505
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-3086
Country	:	US
Telephone Number	:	404-414-9911
Fax Number	:

Provider Business Practice Location Address
First Line	:	3227 VERDANT DR SW APT 1505
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-3086
Country	:	US
Telephone Number	:	404-414-9911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2014
Last Update Date	:	08/25/2014

Similar Medicare Providers

1184273922 — MS. DEADREA JEAN MILLER
Practice Location Address:

3227 VERDANT DR SW APT 1511
ATLANTA, GA
30331-3086

Practice Phone: 678-358-8203
Practice Fax:

1164122024 — ALEXIS SIMMONS
Practice Location Address:

3086 EASTBROOK TER SW
ATLANTA, GA
30331-5471

Practice Phone: 404-539-6127
Practice Fax:

1174630024 — DR. ROBERT D BUTTERWICK O.D.
Practice Location Address:

2625 PIEDMONT RD NE , SUITE 36G
ATLANTA, GA
30324-3086

Practice Phone: 404-233-3513
Practice Fax: 404-814-0184

1710094503 — DR. MICHAEL M BLOOM O.D.
Practice Location Address:

2625 PIEDMONT RD NE , SUITE 36G
ATLANTA, GA
30324-3086

Practice Phone: 404-233-3513
Practice Fax: 404-814-0184

1063529725 — ROSS EYECARE GROUP, P.C.
Practice Location Address:

2625 PIEDMONT RD NE , SUITE G36
ATLANTA, GA
30324-3086

Practice Phone: 404-233-3513
Practice Fax: 404-814-0184

1760593735 — DR. MATTHEW A MAST O.D.
Practice Location Address:

2625 PIEDMONT RD NE
ATLANTA, GA
30324-3086

Practice Phone: 404-233-3513
Practice Fax: 404-814-0184

Directions to “ MAVIS KELLEY CHHC, AADP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.