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DR. KELSAY MCFALL D.O.
NPI 1124438619
Family Medicine in Warner Robins, GA

Active since May 06, 2014PECOS EnrolledAccepts Medicare Assignment
4851 RUSSELL PKWY STE 500, WARNER ROBINS, GA 31088(470) 765-4420 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2026, Mar 10, 2022, Sep 20, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Kelsay Mcfall D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELSAY MCFALL D.O. (NPI 1124438619) is an individual family medicine provider in Warner Robins, Georgia, licensed in Georgia (83349) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains a secondary practice location in Warner Robins.

NPPES Registry Identity

NPI1124438619
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELSAY MCFALLCredential: D.O.
Location Address4851 RUSSELL PKWY STE 500Warner Robins, GA 31088-9305
Mailing Address707 N Houston RdWarner Robins, GA 31093-2101 · (478) 922-4010 · Fax (478) 225-2652
Phone(470) 765-4420
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 6, 2014
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1124438619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 83349
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4851 RUSSELL PKWY STE 500, Warner Robins, GA 31088
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Secondary Practice Location 1

Location 1707 N Houston RdWarner Robins, GA 31093-2101 · Phone (478) 922-4010 · Fax (478) 225-2652

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Dr. Kelsay Mcfall D.o. 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.

PECOS PAC ID3072836816
PECOS Enrollment IDI20191030002271
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Kelsay Mcfall reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vineville Internal Medicine LLC
19 mi
Internal Medicine
3448 VINEVILLE AVE
Macon, GA 31204
  • Reassigned Medicare billing, Georgia enrollment
  • 36 clinicians in this Medicare group
NPI 1396955431 (478) 405-0045
Piedmont Professional Services, LLC
71 mi
Nephrology
1855 HUDSON BRIDGE RD
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 565 clinicians in this Medicare group
NPI 1104088905 (770) 801-2500
Privia Medical Group Of Georgia LLC
75 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285
Piedmont Medical Care Corporation
90 mi
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 clinicians in this Medicare group
NPI 1912956046 (404) 658-9840
Southeast Medical Group, P.C.
107 mi
Family Medicine
3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 240 clinicians in this Medicare group
NPI 1235296054 (770) 442-1911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
352 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services56 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
93 services12 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
82 services11 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
74 services74 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
73 services73 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELE T EDWARDS-PASCHAL MD
Internal Medicine
4851 RUSSELL PKWY STE 500
WARNER ROBINS, GA 31088
Houston County (470) 765-4420
JAEKEA COAR NP
Nurse Practitioner (Family)
4851 RUSSELL PKWY STE 500
WARNER ROBINS, GA 31088
Houston County (470) 765-4420

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 Kelsay Mcfall's NPI number?

The NPI number for Kelsay Mcfall is 1124438619. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Kelsay Mcfall located?

Kelsay Mcfall practices at 4851 Russell Pkwy Ste 500, Warner Robins, GA 31088. The listed phone number is (470) 765-4420.

What is Kelsay Mcfall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelsay Mcfall enrolled in Medicare?

Yes. Kelsay Mcfall 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 Kelsay Mcfall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsay Mcfall reassigns Medicare benefits to 5 organizations: Vineville Internal Medicine LLC (Macon, GA), Piedmont Professional Services, LLC (Stockbridge, GA), Privia Medical Group Of Georgia LLC (Fayetteville, GA), Piedmont Medical Care Corporation (Atlanta, GA) and Southeast Medical Group, P.C. (Alpharetta, 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 Kelsay Mcfall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsay Mcfall accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Kelsay Mcfall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelsay Mcfall affiliated with any hospitals?

According to CMS data, Kelsay Mcfall is affiliated with Houston Healthcare.

When was this NPI record last updated?

The NPPES record for Kelsay Mcfall was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.