Kelly Perdomo, NP-C
NPI 1669917985ActiveIndividual· Nurse Practitioner, Family· Brookhaven, GA
Nurse Practitioner, Family (NP-C) in Brookhaven, Georgia, licensed in GA, with an NPI issued in December 2016. Part D covered 21 prescriptions written in 2024, 90% of them generic.
Overview
| NPI | 1669917985 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Dec 21, 2016 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN222479 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 35 30-day fills |
|---|---|
| Total drug cost | $127.22 |
| Generic share | 90% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 family nurse practitioners in Brookhaven · All family nurse practitioners in Georgia