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 |
|---|---|---|---|
| Scottsdale Surgical Assist LLC | 8348 E Via De Dorado, Scottsdale, AZ 85258-3806 | Surgical Physician Assistant | 2026-04-02 |
| Huntington Station Medicine PC | 257 E Jericho Tpke, Huntington Station, NY 11746-7338 | Surgical Physician Assistant | 2026-04-01 |
| Kate Walker | 2700 E Broad St Ste 522, Mansfield, TX 76063-5899 | Surgical Physician Assistant | 2026-03-04 |
| Jack Monroe Visca | 49 Cleveland St Ste 350, Crossville, TN 38555-2898 | Surgical Physician Assistant | 2026-04-08 |
| Mostafa Karam Sorour Mahmoud | 1612 Central Ave, Far Rockaway, NY 11691-4002 | Surgical Physician Assistant | 2026-02-23 |
| Ionela Anca Turcin | 1371 Church Street Ext Ne Ste 200, Marietta, GA 30060-7913 | Surgical Physician Assistant | 2026-03-06 |
| Allison Lyn Tallon | 4853 Tupelo Dr, Wilmington, NC 28411-8041 | Surgical Physician Assistant | 2026-04-08 |
| Kalli Kossick | 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 | Surgical Physician Assistant | 2026-04-09 |
| Pearson Surgical Pro LLC | 316 Maddi Grace Ct, Locust Grove, GA 30248-9801 | Surgical Physician Assistant | 2026-04-06 |
| Rileigh Stringer Whitmore | 1515 River Pl Ste 365, Braselton, GA 30517-5611 | Surgical Physician Assistant | 2026-04-08 |
| 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 |
|---|---|---|---|
| Samantha Kleiber Newman | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | 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 |
| Peter Vernon Edblad | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | Physician Assistant | 2025-09-05 |
| Kevin Douglas Waits | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3854 | Student in an Organized Health Care Education/Training Program | 2009-12-03 |
| Katherine Powe Deavers · Linda Katherine Powe | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | Family Nurse Practitioner | 2005-12-02 |
| Holly Lynn Archer · Holly Lynn Hargrove | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | Family Nurse Practitioner | 2006-01-05 |
| Kayleigh Dyches Biskup | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | Registered Nurse | 2023-07-12 |
| Hugh Colby Cornelson | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | Family Nurse Practitioner | 2018-08-06 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kafayat Oketade | 1075 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | Student in an Organized Health Care Education/Training Program | 2026-04-10 |
| Mariah Millsap | 1640 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | Physical Therapist | 2025-09-05 |
| Physiotherapy Associates | 332 Washington Street, Suite 310, Gainsville, GA 30501 | Physical Therapist | 2006-10-27 |
| Oteia Keion Morris | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | Family Nurse Practitioner | 2016-08-12 |
| Steven Edward Black | 200 W Academy Street, Gainesville, GA 30501 | Diagnostic Radiology Physician | 2006-07-06 |
| Molly Calderon | 1640 Jesse Jewell Pkwy Se Ste 1a, Gainesville, GA 30501 | Physical Therapist | 2025-11-20 |
| Legacy Heart Care of Gainesville, LLC | 1650 Jesse Jewell Pkwy Ne, Gainesville, GA 30501 | Cardiovascular Disease Physician | 2026-01-13 |
| Lisa Marie Cole · Lisa Marie Crist | 500 Spring St Se, Gainesville, GA 30501 | Speech-Language Pathologist | 2013-08-28 |
| Bart Wade Kimbrell · Bart Kimbrell | 200 W Academy Street, Gainesville, GA 30501 | Diagnostic Radiology Physician | 2010-06-28 |
| William O'Sick | 743 Spring Street Ne, Gr111-Microbiology, Gainesville, GA 30501 | Medical Technologist | 2025-08-22 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Karen Leigh Everett | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | Addiction (Substance Use Disorder) Counselor | 2025-09-16 |
| Nekisha Everett | 815 W Hamlet Ave, Hamlet, NC 28345-2507 | Licensed Practical Nurse | 2025-08-19 |
| Emery Everett Lu | 3188 Bellevue Ave, Cincinnati, OH 45219-2369 | Student in an Organized Health Care Education/Training Program | 2026-04-07 |
| Tara Leigh Kelly | 350 E 17th St, 20th Floor, Baird Hall, New York, NY 10003-3805 | Anesthesiology Physician | 2011-03-31 |
| Chelsea Everett | 1514 Jefferson Hwy, Jefferson, LA 70121-2451 | Medical Physician Assistant | 2026-04-07 |
| Jessica Leigh Kelly | 85 Mathews Dr, Hilton Head Island, SC 29926-3609 | Pharmacist | 2009-08-31 |
| Everett C Mckibben | The Laird Clinic, 103 Doctors Park, Starkville, MS 39759 | General Practice Physician | 2006-12-05 |
| Everett Ika | 1970 W 7800 S, West Jordan, UT 84088-4025 | Community Health Worker | 2025-09-24 |
| Theresa Kelly-Mitchell · Theresa Leigh Kelly | 911 B St Ste 102, Chesapeake, VA 23324-2462 | Physical Therapist | 2026-03-03 |
| Max Everett Chason | 2900 N Military Trl Ste 201, Boca Raton, FL 33431-6308 | Interventional Pain Medicine Physician | 2020-05-26 |
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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. |