BYRON THOMAS KELLY M.D.
NPI 1033280466
Family Medicine in Decatur, GA
About Byron Thomas Kelly M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BYRON THOMAS KELLY M.D. (NPI 1033280466) is an individual family medicine provider in Decatur, Georgia, licensed in Georgia (032762) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Meharry Medical College School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Byron Thomas Kelly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Byron Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tucker, GA 30084
- Reassigned Medicare billing, Georgia enrollment
- 13 clinicians in this Medicare group
Norcross, GA 30093
- Reassigned Medicare billing, Georgia enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30030
DECATUR, GA 30030
DECATUR, GA 30030
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Byron Kelly's NPI number?
The NPI number for Byron Kelly is 1033280466. It was assigned to this individual provider in the NPPES registry on November 9, 2006.
Where is Byron Kelly located?
Byron Kelly practices at 445 Winn Way, Decatur, GA 30030. The listed phone number is (404) 294-3835.
What is Byron Kelly's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Byron Kelly enrolled in Medicare?
Yes. Byron Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Byron Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Byron Kelly reassigns Medicare benefits to 2 organizations: Recovery Consultants Of Atlanta, Inc. (Tucker, GA) and Pruitthealth Physicians Services, LLC (Norcross, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Byron Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Byron Kelly affiliated with any hospitals?
According to CMS data, Byron Kelly is affiliated with Northeast Georgia Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Byron Kelly was last updated on January 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Byron Thomas Kelly, M.D. · NPI 1033280466
Family Medicine physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1033280466 (Entity type: Individual)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 032762 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 445 WINN WAY, Decatur, GA 30030-1707
- **Phone:** (404) 294-3835 · **Fax:** (404) 508-7795
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Recovery Consultants Of Atlanta, Inc. (NPI 1851482376, Tucker, GA); Pruitthealth Physicians Services, LLC (NPI 1043676299, Norcross, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** January 30, 2016
- **Other identifiers:** Medicare UPIN E77495 (GA); Medicaid 00455749A (GA); Medicare ID-Type Unspecified 08BBTFJ (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1033280466) · Data from the CMS NPPES public registry.