MRS. KELLY EVERETT HEMPHILL (PA-C) – Surgical Physician Assistant, NPI 1609049089
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for MRS. KELLY EVERETT HEMPHILL (PA-C)
1400 River Pl
Braselton, GA 305175600
Phone: (770) 532-7092
Fax: (770) 534-8145
Type: Location
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 532-7092
Fax: (770) 534-8145
Type: Location
1524 River Pl
Braselton, GA 305175614
Phone: (678) 207-4477
Fax: (678) 207-4478
Type: Location
835 Austin Dr
Demorest, GA 305354513
Phone: (706) 754-8518
Fax: (706) 754-6238
Type: Location
1270 Friendship Rd
Braselton, GA 305175630
Phone: (678) 207-4477
Fax: (678) 207-4478
Type: Location
801 Austin Dr
Demorest, GA 305354513
Phone: (706) 754-8066
Fax: (706) 754-8086
Type: Location
PO BOX 658
GAINESVILLE, GA 305030658
Phone: (770) 718-1122
Fax: (770) 535-7445
Type: Mailing
655, Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States
STE B
GAINESVILLE, GA 305013756
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2024-08-23 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($70).
Total Amount
$90
General + Research + Ownership
Payments
3
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $70 |
| Vericel Corporation | $20 |
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: 2008-05-30
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 |
|---|---|---|---|---|
| I20080530000390 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 912 | 14 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 196 | 58 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 123 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 18 | $0 |
Insurance plans in this area (ZIP 30517)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | GA | 20610 | Aspiration and/or injection of large joint or joint capsule | 128 | 95 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| General Surgery | GA | |
| Diagnostic Radiology | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| Certified Nurse Midwife (Cnm) | GA |
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