Nurse Practitioner, Family
KALLI ADDISON ATC/LAT, EMT-I
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1023566387 · enumerated 2016-09-15 · record updated 2025-12-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 123 CHANDLER DR, EATONTON, GA, 31024-6139 (706) 473-4497 Google Maps Apple Maps OpenStreetMap
- Practice location 131 CYPRESS LN, EATONTON, GA, 31024-7567 (706) 473-4497 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medical Technician, Intermediate 146M00000X · License I-40267 GA
- Specialist/Technologist, Athletic Trainer 2255A2300X · License AT002731 GA
- Nurse Practitioner, Family 363LF0000X · Primary · License RN297931 GA
In this directory
Locations and evidence
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Practice location
EATONTON, GA, 310247567
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.