DAVID KELLY NP-C
NPI 1558714238
Nurse Practitioner - Family in Grovetown, GA
About David Kelly Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID KELLY NP-C (NPI 1558714238) is an individual family provider in Grovetown, Georgia, licensed in Georgia (RN201485) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
David Kelly Np-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.
Medicare Billing Reassignments
2Medicare enrollment records show David Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, GA 30912
- Reassigned Medicare billing, Georgia enrollment
- 114 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 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
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 30813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 David Kelly's NPI number?
The NPI number for David Kelly is 1558714238. It was assigned to this individual provider in the NPPES registry on July 19, 2016.
Where is David Kelly located?
David Kelly practices at 101 Fornum Dr, Grovetown, GA 30813. The listed phone number is (706) 434-3500.
What is David Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is David Kelly enrolled in Medicare?
Yes. David 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 David Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Kelly reassigns Medicare benefits to 2 organizations: Au Medical Associates Emergency Medicine Billing Services, LLC (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, 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 David Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Kelly accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list David Kelly 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.
When was this NPI record last updated?
The NPPES record for David Kelly was last updated on July 19, 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.
# David Kelly, NP-C · NPI 1558714238
Family physician in Grovetown, Georgia. Individual provider, active in the CMS NPPES registry since July 19, 2016.
## Identity
- **NPI:** 1558714238 (Entity type: Individual)
- **Enumerated:** July 19, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN201485 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 FORNUM DR, Grovetown, GA 30813-2697
- **Phone:** (706) 434-3500
## 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): Au Medical Associates Emergency Medicine Billing Services, LLC (NPI 1982089777, Augusta, GA); Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 19, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1558714238) · Data from the CMS NPPES public registry.