MICHAEL KELLY M.D.
NPI 1942380167
Plastic Surgery in Greensboro, GA

Q: What is Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1942380167. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Michael Kelly's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Kelly was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 16, 2006PECOS Enrolled

94.51/100

CMS Quality Rating

1000 COWLES CLINC WAY, GREENSBORO, GA 30642(706) 543-5858 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Michael Kelly M.d. NPPES

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

MICHAEL KELLY M.D. (NPI 1942380167) is an individual plastic surgery provider in Greensboro, Georgia, licensed in Georgia (85769) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942380167

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameMICHAEL KELLYCredential: M.D.

Location Address1000 COWLES CLINC WAYGreensboro, GA 30642-5285

Mailing Address1180 Resurgence Dr Ste 100Watkinsville, GA 30677-7211 · (305) 595-2969 · Fax (305) 595-6491

Phone(706) 543-5858

Sole ProprietorNo

Enumeration DateOctober 16, 2006

Last NPPES UpdateSeptember 20, 2022

NPPES CertifiedSeptember 20, 2022

✔ NPI 1942380167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in GA · 85769✔ Licensed in FL · 58213

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1000 COWLES CLINC WAY, Greensboro, GA 30642

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Secondary Practice Locations 2

Location 18940 N Kendall Dr, Suite 903-EMiami, FL 33176-2148 · Phone (305) 595-2969 · Fax (305) 595-6491

Location 21180 Resurgence Dr Ste 100Watkinsville, GA 30677-7211 · Phone (706) 543-5858

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Kelly M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Skin Cancer & Aestheitic Dermatology, LLC

30 mi

Dermatology

1180 RESURGENCE DR STE 100
Watkinsville, GA 30677

Reassigned Medicare billing, Georgia enrollment
16 clinicians in this Medicare group

NPI 1205026168 (706) 543-5858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30642 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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.

94.51/100

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

Scored as part of a group practice

Quality

99.33

Promoting Interoperability

Improvement Activities

Cost

83.22

Other Providers at the Same Location NPPES 17

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

DR. ROBERT S COWLES III M.D.

Urology

1000 COWLES CLINC WAY, CYPRESS COTTAGE SUITE C-100
GREENSBORO, GA 30642

Greene County (706) 454-0100

JOHN A. ZELISKO MD

Anesthesiology

1000 COWLES CLINC WAY
GREENSBORO, GA 30642

Greene County (706) 454-0159

CYNTHIA L SOUTH PTA

Physical Therapy Assistant

1000 COWLES CLINC WAY, SUITE D-100
GREENSBORO, GA 30642

Greene County (706) 454-1394

AMERICAN ONCOLOGY ASSOCIATES, LLC

Specialist

1000 COWLES CLINC WAY, MAGNOLIA BLDG., SUITE M-100
GREENSBORO, GA 30642

Greene County (706) 454-1624

PAIN RELIEF SPECIALISTS, INC

Anesthesiology

1000 COWLES CLINC WAY, SUITE C-300
GREENSBORO, GA 30642

Greene County (478) 971-1080

THE ATLANTA CARDIOLOYG GROUP, PC

Internal Medicine (Cardiovascular Disease)

1000 COWLES CLINC WAY, CYPRESS BLDG, A-300
GREENSBORO, GA 30642

Greene County (706) 453-9669

VILLAGE PODIATRY GROUP, LLC

Podiatrist

1000 COWLES CLINC WAY, CYPRESS BUILDING, SUITE C-300
GREENSBORO, GA 30642

Greene County (706) 453-9930

COWLES CLINIC SERVICES, LLC

Clinical Medical Laboratory

1000 COWLES CLINC WAY, ASPEN COTTAGE, SUITE A-400
GREENSBORO, GA 30642

Greene County (706) 454-0025

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 Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1942380167. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Michael Kelly located?

Michael Kelly practices at 1000 Cowles Clinc Way, Greensboro, GA 30642. The listed phone number is (706) 543-5858.

What is Michael Kelly's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Michael Kelly enrolled in Medicare?

Yes. Michael Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kelly reassigns Medicare benefits to Georgia Skin Cancer & Aestheitic Dermatology, LLC (Watkinsville, 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 Michael 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 Michael Kelly was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.