TODD RUFUS KELLEY (MD) – Pediatrics Physician, NPI 1023179777
Pediatrics Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TODD RUFUS KELLEY (MD)
85 JOHN MADDOX DRIVE CONNECTOR NW
ROME, GA 301651233
Phone: (762) 235-2990
Fax: (706) 238-8031
Type: Location
221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651369
Phone: (762) 235-1000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,378.
Total Amount is formed as General ($1,378) + Research ($0) + Ownership ($0) = $1,378.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($710).
Total Amount
$1,378
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,378
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040721000021 | I | Pediatric Medicine | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30165)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| Radiation Oncology | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
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