MS. KEELY DIANNE SMALL PA-C
NPI 1164672689
Physician Assistant in Macon, GA

Q: What is Keely Small's NPI number?

The NPI number for Keely Small is 1164672689. It was assigned to this individual provider in the NPPES registry on September 19, 2008. The provider is also known as Keely Dianne Poore Pa-C.

Q: What is Keely Small's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Keely Small was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 19, 2008PECOS EnrolledAccepts Medicare Assignment

82.34/100

CMS Quality Rating

1014 FORSYTH ST, STE 300, MACON, GA 31201(478) 633-8700(478) 633-8710 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2020, Oct 17, 2019 (2 updates tracked since 2019).

On this page

About Ms. Keely Dianne Small Pa-c NPPES

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

MS. KEELY DIANNE SMALL PA-C (NPI 1164672689) is an individual physician assistant in Macon, Georgia and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Emory University School Of Medicine (2006).

NPPES Registry Identity

NPI1164672689

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. KEELY DIANNE SMALLCredential: PA-C

Location Address1014 FORSYTH ST, STE 300Macon, GA 31201-2025

Mailing Address556 3rd St, Ste AMacon, GA 31201-7993 · (478) 743-2472 · Fax (478) 743-1516

Phone(478) 633-8700

Fax(478) 633-8710

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2006

Enumeration DateSeptember 19, 2008

Last NPPES UpdateJanuary 17, 20202 updates tracked since enumeration

✔ NPI 1164672689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1014 FORSYTH ST, Macon, GA 31201

Open in Google Maps ↗

Other Names 1

Former Name (1)Keely Dianne Poore Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Keely Dianne Small Pa-c 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 ID7012068430

PECOS Enrollment IDI20090625000148

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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

90 services49 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

38 services38 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

18 services15 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.

16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110107

Location777 Hemlock StreetMacon, GA 31201 · Bibb County

Emergency services Birthing friendly

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111310

Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Cost

41.15

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information

91%35 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

RACHEL GOODSON DO

Pediatrics (Developmental - Behavioral Pediatrics)