Healthcare Provider Details

I. General information

NPI: 1134617707
Provider Name (Legal Business Name): KELSEY SCHMIDT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2018
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 350
HOUSTON TX
77030-3004
US

IV. Provider business mailing address

2665 N DECATUR RD STE 630
DECATUR GA
30033-6147
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-6644
  • Fax:
Mailing address:
  • Phone: 404-778-3401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberU5512
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number92350
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: