MR. PAUL T KELLY ARNP
NPI 1760824619
Nurse Practitioner - Family in Gainesville, GA
About Mr. Paul T Kelly Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL T KELLY ARNP (NPI 1760824619) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN260150) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mr. Paul T Kelly Arnp 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 Reassignment
Medicare enrollment records show Paul Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 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.
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.
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 Paul Kelly's NPI number?
The NPI number for Paul Kelly is 1760824619. It was assigned to this individual provider in the NPPES registry on July 19, 2013. The provider is also known as Mr. Paul T Kelly Arnp.
Where is Paul Kelly located?
Paul Kelly practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-6000.
What is Paul Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Paul Kelly enrolled in Medicare?
Yes. Paul 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 organization bills Medicare for Paul Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kelly reassigns Medicare benefits to Northeast Georgia Physicians Group Inc (Gainesville, GA). The 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 Paul Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Paul Kelly affiliated with any hospitals?
According to CMS data, Paul Kelly is affiliated with Northeast Georgia Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Paul Kelly was last updated on January 8, 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.
# Mr. Paul T Kelly, ARNP · NPI 1760824619
Family physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since July 19, 2013.
## Identity
- **NPI:** 1760824619 (Entity type: Individual)
- **Enumerated:** July 19, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN260150 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 743 SPRING ST NE, Gainesville, GA 30501-3715
- **Phone:** (770) 219-6000 · **Fax:** (770) 219-6021
## 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:** Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1760824619) · Data from the CMS NPPES public registry.