DR. KELVIN JERRY MOSS (M.D.) – Hospitalist Physician, NPI 1275640526

DR. KELVIN JERRY MOSS (M.D.) is a healthcare provider. based in Ellijay, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. GA 054634 (GA). The NPI Number for DR. KELVIN JERRY MOSS (M.D.) is 1275640526

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELVIN JERRY MOSS (M.D.)
NPI
1275640526
Phone
(706) 636-6677
Address
83 SOUTHSIDE CHURCH ST
Enumeration Date
24 August 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7062726000
Graduation Year
2002 (24 years ago)
PAC ID
4183694995
Group Practice PAC ID
0446151179
Professional Enrollment ID
I20040729000176
Address ID
GA307202529DA1200XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for DR. KELVIN JERRY MOSS (M.D.)

  • 83, Southside Church Street, Ellijay, Gilmer County, Georgia, 30540, United States

    ELLIJAY, GA 305405400

    Phone: (706) 636-6677

    Fax: (706) 636-6678

    Type: Mailing

  • 83 Southside Church St

    Ellijay, GA 305405400

    Phone: (706) 636-6677

    Fax: (706) 636-6678

    Type: Location

  • Hamilton Medical Center, 1200, Memorial Drive, Dalton, Whitfield County, Georgia, 30722, United States

    DALTON, GA 307202529

    Phone: (706) 217-2207

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $393.

Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: PFIZER INC. ($185).

Total Amount

$393

General + Research + Ownership

Payments

20

Total payment records

General Amount

$393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

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: 2004-07-29

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
I20040729000176IFamily 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes357161$0
99239Hospital discharge day management, more than 30 minutes120116$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10949$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5553$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3931$0
View full utilization report →

Insurance plans in this area (ZIP 30540)

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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: 0446151179View full group profile
NameSpecialtyState
Nurse PractitionerGA
Internal MedicineGA
Internal MedicineGA
Internal Medicine, Orthopedic SurgeryTN
Internal MedicineGA
Cardiovascular Disease (Cardiology)GA
Medical OncologyGA
-GA
Nurse PractitionerGA
-GA

Reviews

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Frequently asked questions

Is there an official ID for DR. KELVIN JERRY MOSS (M.D.) in U.S. healthcare records?
The official identifier for DR. KELVIN JERRY MOSS (M.D.) is NPI 1275640526.
Is DR. KELVIN JERRY MOSS (M.D.) shown as active in public data?
Registry records indicate DR. KELVIN JERRY MOSS (M.D.) maintains an active NPI.
What expertise is attributed to DR. KELVIN JERRY MOSS (M.D.)?
DR. KELVIN JERRY MOSS (M.D.)'s specialty line reads Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is DR. KELVIN JERRY MOSS (M.D.) associated with Ellijay?
Public fields place DR. KELVIN JERRY MOSS (M.D.) around Ellijay, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. KELVIN JERRY MOSS (M.D.)?
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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