Doctor profile · Federal record
Dr. Kelly Tickle, PCNS-BC, PPCNP-BC
Pediatric Nurse Practitioner · Registered Nurse · Pediatric Clinical Nurse Specialist · Atlanta, GA
- NPI 1417379538
- 12 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
5455 Meridian Marks RD Ste 400
Atlanta, GA 303424723
(404) 785-3240
fax (404) 785-3600
Credentials & registration
- NPI registered
- January 2014 — 12 yrs on file
- Profile last updated
- October 31, 2025
- Specialty taxonomy
- 363LP0200X — NUCC code
- State licenses (3)
- Georgia #APRN-NP228738 · Georgia #RN228738 · Georgia #APRN-CNS228738
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417379538. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$5,414
Transactions
10
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GENZYME CORPORATION | 10 | $5,413.80 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Tickle's medical specialty?
Dr. Kelly Tickle practices Pediatric Nurse Practitioner in Atlanta, GA.
Where does Dr. Kelly Tickle practice?
Dr. Kelly Tickle practices at 5455 Meridian Marks RD Ste 400, Atlanta, GA 303424723. Office phone: 4047853240.
What is Dr. Kelly Tickle's NPI?
Dr. Kelly Tickle's National Provider Identifier (NPI) is 1417379538, issued by NPPES.