ROBERT E. JR. KELLY (M.D.) – Pediatric Surgery Physician, NPI 1396752838

ROBERT E. JR. KELLY (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in Pediatric Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 0101050898 (VA). The NPI Number for ROBERT E. JR. KELLY (M.D.) is 1396752838

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT E. JR. KELLY (M.D.)
NPI
1396752838
Phone
(757) 668-7703
Address
PO BOX 741593
Enumeration Date
1 August 2006
Last Update Date
26 December 2012

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7576688544
Graduation Year
1985 (41 years ago)
PAC ID
8224297098
Group Practice PAC ID
0244288470
Professional Enrollment ID
I20120314000458
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT E. JR. KELLY (M.D.)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    CHILDRENS SURGICAL SPECIALTY GROUP INC

    ATLANTA, GA 303741593

    Phone: (757) 668-7703

    Fax: (757) 668-8860

    Type: Mailing

  • 601, Childrens Lane, Norfolk, Virginia, 23507, United States

    NORFOLK, VA 235071910

    Phone: (757) 668-7703

    Fax: (757) 668-8860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $671,391.

Total Amount is formed as General ($671,391) + Research ($0) + Ownership ($0) = $671,391.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($671,315).

Total Amount

$671,391

General + Research + Ownership

Payments

11

Total payment records

General Amount

$671,391

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2012-03-14

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
I20120314000458IGeneral SurgeryVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30374)

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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: 0244288470View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ROBERT E. JR. KELLY (M.D.)?
NPI 1396752838 is assigned to ROBERT E. JR. KELLY (M.D.) under the national enumeration system.
Is ROBERT E. JR. KELLY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ROBERT E. JR. KELLY (M.D.) list a primary specialty?
If you are matching referrals, note Pediatric Surgery Physician for ROBERT E. JR. KELLY (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for ROBERT E. JR. KELLY (M.D.)?
We surface Atlanta, Georgia for ROBERT E. JR. KELLY (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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