DR. KELLI INGRAM BAENDER (M.D.) – Procedural Dermatology Physician, NPI 1093793416

DR. KELLI INGRAM BAENDER (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 60105 (GA). The NPI Number for DR. KELLI INGRAM BAENDER (M.D.) is 1093793416

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLI INGRAM BAENDER (M.D.)
NPI
1093793416
Phone
(404) 355-5484
Address
3379 PEACHTREE RD. NE
Enumeration Date
5 January 2006
Last Update Date
16 October 2014

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
6787023376
Graduation Year
2003 (23 years ago)
PAC ID
9537125091
Group Practice PAC ID
1658680764
Professional Enrollment ID
I20080602000348
Address ID
GA301357542DO4645XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

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Provider Addresses for DR. KELLI INGRAM BAENDER (M.D.)

  • 3379, Peachtree Road Northeast, Buckhead, Atlanta, Georgia, 30326, United States

    SUITE 500

    ATLANTA, GA 303261418

    Phone: (404) 355-5484

    Fax: (404) 355-5787

    Type: Mailing

  • Peachtree Road Northeast, Brookwood Hills, Atlanta, Georgia, 30363, United States

    SUITE 500

    ATLANTA, GA 303261418

    Phone: (404) 355-5484

    Fax: (404) 355-5787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $3,556.

Total Amount is formed as General ($3,556) + Research ($0) + Ownership ($0) = $3,556.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($819).

Total Amount

$3,556

General + Research + Ownership

Payments

149

Total payment records

General Amount

$3,556

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1044 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20080602000348IDermatologyGA2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
17003Destruction of precancer skin growth, 2-14 growths1,143234$0
99213Established patient office or other outpatient visit, 20-29 minutes577493$0
17000Destruction of precancer skin growth, 1 growth379314$0
17110Destruction of skin growth, 1-14 growths283239$0
99214Established patient office or other outpatient visit, 30-39 minutes211181$0
View full utilization report →

Insurance plans in this area (ZIP 30326)

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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: 1658680764View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Physician AssistantGA
-AL
Nurse PractitionerGA
-GA
Physician AssistantGA
Pathology, DermatologyGA
Nurse PractitionerTN
D E R M A T O L O G YGA
Physician AssistantGA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KELLI INGRAM BAENDER (M.D.)'s NPI?
Yes. DR. KELLI INGRAM BAENDER (M.D.) is listed with NPI 1093793416 in the public NPI dataset.
Can I rely on DR. KELLI INGRAM BAENDER (M.D.) being an active provider?
As of the registry snapshot, DR. KELLI INGRAM BAENDER (M.D.) is marked active.
What healthcare role does DR. KELLI INGRAM BAENDER (M.D.) hold?
Scheduling teams often label DR. KELLI INGRAM BAENDER (M.D.) under Procedural Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. KELLI INGRAM BAENDER (M.D.) list a practice location?
Patients near Atlanta, Georgia may find DR. KELLI INGRAM BAENDER (M.D.) in results; validate coverage separately.
Is the information about DR. KELLI INGRAM BAENDER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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