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DR. KELLEY A. STAHL MD
NPI 1760464549
Internal Medicine in Cumming, GA

Active since November 16, 2005Opted out of Medicare · through Apr 1, 2027
407 E MAPLE ST, SUITE 101, CUMMING, GA 30040(770) 888-6697(770) 888-6998 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelley A. Stahl Md NPPES

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

DR. KELLEY A. STAHL MD (NPI 1760464549) is an individual internal medicine provider in Cumming, Georgia, licensed in Georgia (054257) and active in the NPI registry since November 2005. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760464549
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELLEY A. STAHLCredential: MD
Location Address407 E MAPLE ST, SUITE 101Cumming, GA 30040-2635
Mailing Address407 E Maple St, Suite 101Cumming, GA 30040-2635 · (770) 888-6697 · Fax (770) 888-6998
Phone(770) 888-6697
Fax(770) 888-6998
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateApril 30, 2012
✔ NPI 1760464549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 054257
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
407 E MAPLE ST, Cumming, GA 30040
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Other Identifiers 1

Medicare UPINH50435GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelley A. Stahl Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims28 services$6.59 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier48 claims575 services$11.06 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
1 supplier43 claims91 services$302.56 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier48 claims120 services$8.02 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier46 claims112 services$25.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$178.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MELISSA STEWART LMSW
Social Worker
407 E MAPLE ST
CUMMING, GA 30040
Forsyth County (678) 965-6021
FAMILY ORTHODONTICS OF CING, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
407 E MAPLE ST
CUMMING, GA 30040
Forsyth County (678) 445-9191
DENTISTRY FOR CHILDREN OF CUMMING CD, LLC
Dentist (Pediatric Dentistry)
407 E MAPLE ST, STE 109
CUMMING, GA 30040
Forsyth County (678) 445-5444
PREMIER MEDICAL ASSOCIATES PC
Internal Medicine
407 E MAPLE ST, SUITE 101
CUMMING, GA 30040
Forsyth County (770) 888-6697
MRS. ANNETTE C HAMILTON MD
Internal Medicine
407 E MAPLE ST, SUITE 101
CUMMING, GA 30040
Forsyth County (770) 888-6697

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 Kelley Stahl's NPI number?

The NPI number for Kelley Stahl is 1760464549. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Kelley Stahl located?

Kelley Stahl practices at 407 E Maple St Suite 101, Cumming, GA 30040. The listed phone number is (770) 888-6697.

What is Kelley Stahl's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelley Stahl enrolled in Medicare?

No. Kelley Stahl has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelley Stahl was last updated on April 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.