KELLY A DIXON-MARTIN (MD) – Physical Medicine & Rehabilitation Physician, NPI 1275656563
Physical Medicine & Rehabilitation Physician
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Profile Insights
NPPES metrics only — not quality of care.
314 PHYSICAL MEDICINE AND REHABILITATION in GA
Provider Addresses for KELLY A DIXON-MARTIN (MD)
4017 ATLANTA HWY
SUITE B
ATHENS, GA 30606
Phone: (706) 389-2222
Fax: (706) 389-2221
Type: Location
PO BOX 48089
ATHENS, GA 306048089
Phone:
Type: Mailing
4017 ATLANTA HWY STE B
ATHENS, GA 306060812
Phone: (706) 389-2222
Fax: (706) 389-2221
Type: Location
PO BOX 22239
NEW YORK, NY 100870001
Phone: (702) 899-0595
Fax: (702) 977-1496
Type: Mailing
1083 PARKWAY BLVD
ATHENS, GA 306066171
Phone: (872) 231-3162
Fax: (702) 977-1496
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: 2005-10-18
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 |
|---|---|---|---|---|
| I20051018000450 | I | Physical Medicine And Rehabilitation | 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 30606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Physical Medicine And Rehabilitation | NY | |
| - | NY | |
| Physical Medicine And Rehabilitation | WA | |
| - | OH | |
| Pain Management, Hand Surgery, Interventional Pain Management, Orthopedic Surgery, Physical Medicine And Rehabilitation | NY | |
| - | DC | |
| Physical Medicine And Rehabilitation | MA | |
| Physical Medicine And Rehabilitation, Pain Management, Pain Management | NY | |
| Physical Medicine And Rehabilitation, Pain Management | MD |
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