Kelly Everett Hemphill is a Surgical Physician Assistant practicing in Gainesville, Georgia. The National Provider Identifier (NPI) is #1609049089, which was assigned on April 8, 2008, and the registration record was last updated on December 12, 2024. The practitioner's main practice location is at 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3756; the contact telephone number is 7705327092, and the fax number is 7705360383. The primary taxonomy of Kelly Everett Hemphill is Surgical Physician Assistant (363AS0400X), with specialization in Surgical. Kelly Everett Hemphill is licensed to practice in the state of Georgia (#5293).
| NPI | 1609049089 |
| Entity Type | Individual |
| Provider Name | MRS. KELLY EVERETT HEMPHILL |
| Other Name |
MISS KELLY LEIGH EVERETT (Former Name) |
| Gender | Female |
| Credential | PA-C |
| Practice Address |
655 Jesse Jewell Pkwy Se Ste B Gainesville GA 30501-3756 |
| Practice Telephone | 7705327092 |
| Practice Fax Number | 7705360383 |
| Mailing Address |
Po Box 658 Gainesville GA 30503-0658 |
| Mailing Telephone | 7707181122 |
| Mailing Fax Number | 7705357445 |
| Certification Date | 2024-12-12 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2024-12-12 |
| Is Sole Proprietor | N |
| PAC ID |
7416027628 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | KELLY E HEMPHILL |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Address |
743 Spring St Ne Gainesville GA 30501-3715 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363AS0400X | Physician Assistant | Surgical | 5293 | GA |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 742533948A | GA | MEDICAID | |
| 587186 | GA | WELLCARE | Other |
| 01357356 | GA | AMERIGROUP | Other |
| 742533948B | GA | MEDICAID |
| Address | Telephone | Fax |
|---|---|---|
| 1270 Friendship Rd, Braselton, GA 305175630 | 6782074477 | 6782074478 |
| 1400 River Pl, Braselton, GA 305175600 | 7705327092 | 7705348145 |
| 1524 River Pl, Braselton, GA 305175614 | 6782074477 | 6782074478 |
| 743 Spring St NE, Gainesville, GA 305013715 | 7705327092 | 7705348145 |
| 801 Austin Dr, Demorest, GA 305354513 | 7067548066 | 7067548086 |
| 835 Austin Dr, Demorest, GA 305354513 | 7067548518 | 7067546238 |
| Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| Classification | Physician Assistant |
| Specialization | Surgical |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| American Orthopedics Surgical Assist, LLC | 10 Enterprise Blvd Ste 209, Greenville, SC 29615-3554 | Surgical Physician Assistant | 2025-10-08 |
| Montmann Medical Solutions, LLC | 250 Sw 6th Pl, Pompano Beach, FL 33060-8393 | Surgical Physician Assistant | 2025-09-29 |
| Shivalli Dharmendra Rai | 901 Saint Marys Dr, Evansville, IN 47714-0520 | Surgical Physician Assistant | 2025-09-25 |
| M Ward S Surgical Associates | 10620 Southern Highlands Pkwy Ste 110-438, Las Vegas, NV 89141-4371 | Surgical Physician Assistant | 2025-09-29 |
| Prime Surgical Solutions, LLC | 5703 Corsa Ave Ste 202, Westlake Village, CA 91362-4001 | Surgical Physician Assistant | 2025-09-24 |
| Sharon Elizabeth Lauster | 1575 Pine Ridge Rd, Naples, FL 34109-2107 | Surgical Physician Assistant | 2025-09-30 |
| Emily Zazulak | 1555 Long Pond Rd, Rochester, NY 14626-4164 | Surgical Physician Assistant | 2025-10-02 |
| Stitch for Hire LLC | 50 Wason Ave, Springfield, MA 01107-1274 | Surgical Physician Assistant | 2025-10-09 |
| Tiwaloluwa James | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | Surgical Physician Assistant | 2025-10-10 |
| Nicholas Mondore | 1367 Washington Ave Ste 200, Albany, NY 12206-1043 | Surgical Physician Assistant | 2025-09-23 |
| Find all providers with the same taxonomy | |||
| Street Address |
655 JESSE JEWELL PKWY SE STE B |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3756 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Hugh Colby Cornelson | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | Registered Nurse First Assistant | 2018-08-06 |
| Peter Vernon Edblad | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | Physician Assistant | 2025-09-05 |
| Kayleigh Dyches Biskup | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | Registered Nurse | 2023-07-12 |
| Kevin Douglas Waits | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3854 | Student in an Organized Health Care Education/Training Program | 2009-12-03 |
| Christopher David Thomas | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3756 | Medical Physician Assistant | 2011-04-15 |
| Samantha Kleiber Newman | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3854 | Surgical Physician Assistant | 2019-11-06 |
| Karen Jeanette Freeman · Karen Jeanette Bridges | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501 | Family Nurse Practitioner | 2012-09-12 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Andrew Tab Strike | 743 Spring Street, Suite 710, Gainesville, GA 30501 | Student in an Organized Health Care Education/Training Program | 2022-03-28 |
| Johnathan Grimes | 1075 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | Student in an Organized Health Care Education/Training Program | 2025-04-07 |
| Physiotherapy Associates | 332 Washington Street, Suite 310, Gainsville, GA 30501 | Physical Therapist | 2006-10-27 |
| William O'Sick | 743 Spring Street Ne, Gr111-Microbiology, Gainesville, GA 30501 | Medical Technologist | 2025-08-22 |
| Sarah Franks | 1967 Jesse Jewell Pkway, Gainesville, GA 30501 | Behavioral Analyst | 2025-06-20 |
| Mary Beall | 1967 Jesse Jewell Pkwy, Gainesville, GA 30501 | Behavior Technician | 2025-07-07 |
| Ashleigh Layne | 1075 Jesse Jewell Pkwy, Se Ste A, Gainesville, GA 30501 | Social Worker | 2023-05-26 |
| Norman D Baker Jr. | 604 Green St Ne Ste 1, Gainesville, GA 30501 | Emergency Medicine Physician | 2006-08-11 |
| Mariah Millsap | 1640 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | Physical Therapist | 2025-09-05 |
| Bart W Kimbrell · Bart Kimbrell | 200 W Academy Street, Gainesville, GA 30501 | Diagnostic Radiology Physician | 2010-06-28 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kelly Leigh Bolton | 1 Barnes Jewish Hospital Plz, Div Im Bone Marrow Transplant, Saint Louis, MO 63110-1003 | Internal Medicine Physician | 2013-05-03 |
| Kay Dee Everett | 2 Tampa General Cir, Tampa, FL 33606-3571 | Cardiovascular Disease Physician | 2016-06-16 |
| Joe Everett Asher | 6400 Cornhusker Hwy, Lincoln, NE 68507-3123 | Adult Companion | 2025-02-24 |
| Paul D Everett Jr. | 5524 W Harrison St, Chicago, IL 60644-5032 | Clinical Social Worker | 2013-04-01 |
| Kelly Leigh Kurtz | 1372 Peachtree St Ne, Atlanta, GA 30309-3203 | Nurse Practitioner | 2006-12-27 |
| Kelly Leigh Thielk · Kelly Leigh Todd | 300 E Horsetooth Rd Ste 200, Fort Collins, CO 80525-3154 | Clinical Social Worker | 2019-06-17 |
| Kelly Leigh Scott | 7701 W Aspera Blvd Ste 201301, Glendale, AZ 85308-7947 | Orthopaedic Surgery Physician | 2016-05-10 |
| Everett Davis | 3003 4th Ave, San Diego, CA 92103-5801 | Behavior Technician | 2025-10-02 |
| Kelly Spychalski · Kelly Leigh Peterson | 430 N Monte Vista St, Ada, OK 74820-4610 | Adult Health Nurse Practitioner | 2014-11-26 |
| Jasmine Everett | 203 California St Ne, Albuquerque, NM 87108-1802 | Community Health Worker | 2025-09-22 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |