GARRETT KELLY MD
NPI 1407820939
Family Medicine in Virginia Beach, VA
About Garrett Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARRETT KELLY MD (NPI 1407820939) is an individual family medicine provider in Virginia Beach, Virginia, licensed in Virginia (0102036923) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Norfolk, and is a graduate of Philadelphia College Of Osteopathic Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 8
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
Garrett Kelly Md 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 Garrett Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norfolk, VA 23517
- Reassigned Medicare billing, Virginia enrollment
Chesapeake, VA 23321
- Reassigned Medicare billing, Virginia enrollment
- 570 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23454 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.
VIRGINIA BEACH, VA 23454
VIRGINIA BEACH, VA 23454
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 Garrett Kelly's NPI number?
The NPI number for Garrett Kelly is 1407820939. It was assigned to this individual provider in the NPPES registry on February 13, 2006.
Where is Garrett Kelly located?
Garrett Kelly practices at 1168 First Colonial Rd, Virginia Beach, VA 23454. The listed phone number is (757) 352-2020.
What is Garrett Kelly's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Garrett Kelly enrolled in Medicare?
Yes. Garrett 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 Garrett Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Garrett Kelly reassigns Medicare benefits to 2 organizations: Kenjack Medical LLC (Norfolk, VA) and Bayview Physician Services, PC (Chesapeake, VA). 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 Garrett Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Garrett Kelly was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Garrett Kelly, MD · NPI 1407820939
Family Medicine physician in Virginia Beach, Virginia. Individual provider, active in the CMS NPPES registry since February 13, 2006.
## Identity
- **NPI:** 1407820939 (Entity type: Individual)
- **Enumerated:** February 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0102036923 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1168 FIRST COLONIAL RD, Virginia Beach, VA 23454-2444
- **Phone:** (757) 352-2020 · **Fax:** (757) 686-0541
## 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): Kenjack Medical LLC (NPI 1528423555, Norfolk, VA); Bayview Physician Services, PC (NPI 1508813387, Chesapeake, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 1985
## Record status
- **NPPES last updated:** April 6, 2021
- **Other identifiers:** Other 122066 (VA); Other 171965 (VA); Other 541595397 (VA); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1407820939) · Data from the CMS NPPES public registry.