NPPES file of Aug 9, 2026

Kelly M. Stanek, PHD

Clinical Neuropsychologist · Augusta, GA

Kelly M. Stanek, PHD is a clinical neuropsychologist with a practice address in Augusta, Georgia, and NPI 1063862639, issued on Jun 15, 2016. Check the license (Georgia PSY004125, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063862639
Name
Kelly M. Stanek
Credential
PHD
Primary taxonomy
Clinical Neuropsychologist 103G00000X
License numbers
PSY004125 GA
3375-057 WI
Self-reported in NPPES; status is on the state search
Practice location
1120 15TH St, Augusta, GA 30912
Phone
(706) 721-4581
Enumerated
Jun 15, 2016
Record last updated
Aug 4, 2023
Medicare enrollment
Enrolled (PECOS I20171103001598); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical neuropsychologist records → All 110 in Georgia → Look up another NPI →

Also registered at 1120 15TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Megan AbadomUrology Physician1093649022
  2. Rahat AbbasiInternal Medicine Physician1578057261
  3. Matthew Abbott, MDNeurology Physician1417572959
  4. Da'Ad AbdallaPediatrics Physician1841166451
  5. Zahraa Abdul Sater, MBBSEmergency Medicine Physician1467731125
  6. Youmna Abourady, MDPediatrics Physician1144146960

Verify Kelly M. Stanek in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license PSY004125    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

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Bills Medicare through one group practice

  1. Wellstar Medical Group LLCAugusta, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kelly M. Stanek among 110 clinical neuropsychologist records in Georgia

Kelly M. Stanek, PHD is one of 110 clinical neuropsychologist records with a practice address in Georgia. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 66% of them.

  • NPI issued2016 · 66% of these records are older, 26% newer
  • In a Medicare fileYes · 26% of these records are
  • In the CMS Doctors and Clinicians fileYes · 36% of these records are
  • Graduated2011 · median 2007 among the 40 with a school on file
  • Record last updated2023 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103G00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Neuropsychologist providers in Georgia

There are 110 clinical neuropsychologist records in Georgia.

All 110 in Georgia → Every provider in Augusta → Clinical Neuropsychologist nationwide →

The 8 clinical neuropsychologist records with the nearest ZIP codes

  1. Morris Cohen, EDDAugusta, GA 309121053414995
  2. Jeremy Hertza, PSY.DAugusta, GA 309071528237955
  3. James Schear, PH.D.Augusta, GA 309071972628667
  4. Ken Dobbins, PH.D.Fort Gordon, GA 309051174681514
  5. Randy Georgemiller, PH.D.Fort Gordon, GA 309051205904950
  6. Debra Pierce, PH.D.Augusta, GA 309041104846161
  7. Kerrianne Bresnan, PSY.D.Fort Eisenhower, GA 308091689806135
  8. Eugene EmoryUnadilla, GA 310911770652471

Common questions

What is Kelly M. Stanek, PHD's NPI number?

Kelly M. Stanek, PHD's National Provider Identifier (NPI) is 1063862639, issued on Jun 15, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Kelly M. Stanek, PHD located?

The NPPES record lists a practice address at 1120 15TH St, Augusta, GA, 30912. Phone: (706) 721-4581. Providers update this record themselves, so call before visiting.

How can I verify Kelly M. Stanek, PHD's license?

NPPES lists Georgia license number PSY004125, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.