Doctor profile · Federal record
Dr. Kelly Wall, FNP-C
Family Nurse Practitioner · Vidalia, GA
- NPI 1194290338
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
414 Lugenia Dr
Vidalia, GA 304747210
(912) 537-9355
fax (912) 335-4804 - Mailing address
-
Po Box 1416
Vidalia, GA 304751416
Credentials & registration
- NPI registered
- October 2018 — 8 yrs on file
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Georgia #RN170495
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194290338. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$86
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 3 | $68.68 | |
| Teva Pharmaceuticals USA, Inc. | 1 | $17.48 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
60
Patients
0
Total drug cost
$2,007
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Buspirone Hcl | Generic | 21 | 0 | $170 |
| Quetiapine Fumarate | Generic | 14 | 0 | $141 |
| Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl) | Brand | 13 | 0 | $1,601 |
| Topiramate | Generic | 12 | 0 | $95 |
Frequently asked questions
What is Dr. Kelly Wall's medical specialty?
Dr. Kelly Wall practices Family Nurse Practitioner in Vidalia, GA.
Where does Dr. Kelly Wall practice?
Dr. Kelly Wall practices at 414 Lugenia Dr, Vidalia, GA 304747210. Office phone: 9125379355.
What is Dr. Kelly Wall's NPI?
Dr. Kelly Wall's National Provider Identifier (NPI) is 1194290338, issued by NPPES.