KELLEY W CARROLL M.D.
NPI 1477582062
Family Medicine in Atlanta, GA

Q: What is Kelley Carroll's NPI number?

The NPI number for Kelley Carroll is 1477582062. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Kelley Carroll's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelley Carroll was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

91.6/100

CMS Quality Rating

80 JESSE HILL JR DR SE, ATLANTA, GA 30303(713) 500-3500 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Feb 7, 2019 (2 updates tracked since 2019).

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About Kelley W Carroll M.d. NPPES

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

KELLEY W CARROLL M.D. (NPI 1477582062) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (78264) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1477582062

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKELLEY W CARROLLCredential: M.D.

Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031

Mailing Address80 Jesse Hill Jr Dr SeAtlanta, GA 30303-3031 · (713) 500-3500

Phone(713) 500-3500

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2002

Enumeration DateJuly 3, 2006

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1477582062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 78264✔ Licensed in TX · M1040

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.

80 JESSE HILL JR DR SE, Atlanta, GA 30303

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Secondary Practice Location 1

Location 1280 Cobb Pkwy S Ste 60Marietta, GA 30060-6531 · Phone (888) 405-6396 · Fax (415) 520-0904

Other Identifiers 2

Other8S6142TX · Bcbs

Medicaid173642301TX

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

Kelley W Carroll 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.

PECOS PAC ID5597700039

PECOS Enrollment IDI20170822003507

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.

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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.

91.6/100

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

Scored as part of a group practice

Quality

75.42

Promoting Interoperability

100

Improvement Activities

Cost

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.

DR. SHANNON WALKER IKE MD

Internal Medicine (Cardiovascular Disease)