DR. HENRY GRADY III SKELTON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1053582353

DR. HENRY GRADY III SKELTON (MD) is a healthcare provider. based in Tucker, Georgia. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 0101032713 (VA). The NPI Number for DR. HENRY GRADY III SKELTON (MD) is 1053582353

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. HENRY GRADY III SKELTON (MD)
NPI
1053582353
Phone
(678) 406-1509
Address
1777 MONTREAL CIR
Enumeration Date
14 March 2008
Last Update Date
25 September 2015

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7703840284
Graduation Year
1979 (47 years ago)
PAC ID
3173579539
Group Practice PAC ID
0840260097
Professional Enrollment ID
I20050329000590
Address ID
GA300301726DE428XXCTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:18State licenses:7Digital endpointsOther names

391 PATHOLOGY in GA

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Provider Addresses for DR. HENRY GRADY III SKELTON (MD)

  • 1777, Montreal Circle, Tucker, DeKalb County, Georgia, 30084, United States

    ANATOMIC PATHOLOGY

    TUCKER, GA 300846802

    Phone: (678) 406-1509

    Fax: (770) 621-7530

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050329000590IPathologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88304Pathology examination of tissue using a microscope, moderately low complexity741705$0
88312Special stained specimen slides to identify organisms including interpretation and report720655$0
88311Preparation of tissue for examination by removing any calcium present579563$0
88305Pathology examination of tissue using a microscope, intermediate complexity327183$0
88313Special stained specimen slides to examine tissue including interpretation and report3619$0
View full utilization report →

Insurance plans in this area (ZIP 30084)

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Provider's Procedures

DR. HENRY GRADY III SKELTON (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYGA88312Special stained specimen slides to identify organisms including interpretation and report13453

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840260097View full group profile
NameSpecialtyState
P A T H O L O G YGA
P A T H O L O G YGA
-GA
P A T H O L O G YGA
-GA
P A T H O L O G YFL
P A T H O L O G YIL

Reviews

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Frequently asked questions

Is DR. HENRY GRADY III SKELTON (MD) listed with a National Provider Identifier?
Yes — DR. HENRY GRADY III SKELTON (MD) has NPI 1053582353 on file in the registry.
Would DR. HENRY GRADY III SKELTON (MD) appear as active to a payer?
You can treat DR. HENRY GRADY III SKELTON (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. HENRY GRADY III SKELTON (MD)?
DR. HENRY GRADY III SKELTON (MD)'s specialty line reads Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. HENRY GRADY III SKELTON (MD)?
Directory geography for DR. HENRY GRADY III SKELTON (MD) centers on Tucker, Georgia.
Can I trust this NPI listing for DR. HENRY GRADY III SKELTON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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Unknown Individual

Anatomic Pathology & Clinical Pathology Physician
1777, Montreal Circle, Tucker, DeKalb County, Georgia, 30084, United States
NPI: 1164600433