KELLY C GROW (MD) – Gastroenterology Physician, NPI 1588690382

KELLY C GROW (MD) is a healthcare provider. based in Brookhaven, Georgia. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 051353 (GA). The NPI Number for KELLY C GROW (MD) is 1588690382

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KELLY C GROW (MD)
NPI
1588690382
Phone
(770) 989-1668
Address
1001 SUMMIT BLVD STE 200
Enumeration Date
23 June 2006
Last Update Date
3 October 2018

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4065480008
Graduation Year
1999 (27 years ago)
PAC ID
4284647637
Group Practice PAC ID
3870768997
Professional Enrollment ID
I20060801000254
Address ID
GA306013806AT340XXAVEX402
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

524 GASTROENTEROLOGY in GA

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Provider Addresses for KELLY C GROW (MD)

  • 1001 SUMMIT BLVD STE 200

    BROOKHAVEN, GA 303196410

    Phone: (770) 989-1668

    Fax: (706) 369-9673

    Type: Mailing

  • 340, North Milledge Avenue, Broad Acres, Athens, Athens-Clarke County, Georgia, 30601, United States

    ATHENS, GA 306013806

    Phone: (706) 548-0008

    Fax: (706) 369-9673

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 226 Open Payments records for all available years, with a total value of $4,554.

Total Amount is formed as General ($4,554) + Research ($0) + Ownership ($0) = $4,554.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($946).

Total Amount

$4,554

General + Research + Ownership

Payments

226

Total payment records

General Amount

$4,554

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2006-08-01

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
I20060801000254IGastroenterologyGATBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare227227$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope174170$0
99214Established patient office or other outpatient visit, 30-39 minutes118102$0
45380Biopsy of large bowel using a flexible endoscope6969$0
43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm5450$0
View full utilization report →

Insurance plans in this area (ZIP 30319)

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Provider's Procedures

KELLY C GROW (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYGA45378Diagnostic examination of large bowel using an endoscope2323
GASTROENTEROLOGYGA45385Removal of polyps or growths of large bowel using an endoscope127125

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: 3870768997View full group profile
NameSpecialtyState
Nurse PractitionerGA
Gastroenterology, Internal MedicineGA
Physician AssistantGA
Gastroenterology, Internal MedicineGA
Gastroenterology, Internal MedicineGA
Physician AssistantGA
G A S T R O E N T E R O L O G YGA
Nurse PractitionerGA
Gastroenterology, Internal MedicineGA
Nurse PractitionerGA

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Frequently asked questions

How do I look up KELLY C GROW (MD) by NPI?
Use NPI 1588690382 when you need to reference KELLY C GROW (MD) in forms, claims, or directories.
Is KELLY C GROW (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KELLY C GROW (MD) work in?
You can think of KELLY C GROW (MD) as practicing within Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is KELLY C GROW (MD)'s primary listing?
We display Brookhaven, Georgia because that is what the record indicates for KELLY C GROW (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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