DR. KELLY MACKEY (MD) – Family Medicine Physician, NPI 1225101371

DR. KELLY MACKEY (MD) is a healthcare provider. based in Cleveland, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 047346 (GA). The NPI Number for DR. KELLY MACKEY (MD) is 1225101371

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY MACKEY (MD)
NPI
1225101371
Phone
(770) 219-9260
Address
2578 HELEN HWY
Enumeration Date
16 November 2006
Last Update Date
28 November 2022

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
7068651234
Graduation Year
1989 (37 years ago)
PAC ID
7810057551
Group Practice PAC ID
3274535687
Professional Enrollment ID
I20081125000403
Address ID
GA305282848CL2578XHWYX300

Contacts

Secure Messaging
kmackey154641@nghs.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,102 FAMILY PRACTICE in GA

Provider Addresses for DR. KELLY MACKEY (MD)

  • 2578 HELEN HWY

    CLEVELAND, GA 305282848

    Phone: (770) 219-9260

    Type: Location

  • 1010 Village Dr

    Watkinsville, GA 306776004

    Phone: (706) 769-0000

    Fax: (706) 769-0320

    Type: Location

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • Paces Ferry Road Northwest, Atlanta, Fulton County, Georgia, 30327, United States

    SUITE 1-1100 (ATTENTION DENISE)

    ATLANTA, GA 30339

    Phone: (470) 271-3421

    Type: Mailing

  • Village Circle, Simonton Place, Watkinsville, Oconee County, Georgia, 30644, United States

    WATKINSVILLE, GA 306776004

    Phone: (706) 769-0000

    Fax: (706) 769-0320

    Type: Location

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: 2008-11-25

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
I20081125000403IFamily PracticeGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes352316$0
J1100Injection, dexamethasone sodium phosphate, 1 mg20018$0
99214Established patient office or other outpatient visit, 30-39 minutes145140$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected144140$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)9690$0
View full utilization report →

Insurance plans in this area (ZIP 30528)

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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: 3274535687View full group profile
NameSpecialtyState
Physician AssistantGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
Physician AssistantGA
-GA
Family PracticeGA
-GA
General SurgeryIL
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do payers reference DR. KELLY MACKEY (MD)?
For DR. KELLY MACKEY (MD), use NPI 1225101371 as the unique 10-digit identifier.
Is there an active status for DR. KELLY MACKEY (MD)?
For scheduling context, DR. KELLY MACKEY (MD) is shown as active in the registry.
What expertise is attributed to DR. KELLY MACKEY (MD)?
DR. KELLY MACKEY (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KELLY MACKEY (MD)?
Travel planning: use Cleveland, Georgia as the reference point for DR. KELLY MACKEY (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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