DR. KERRY A NEISES (MD) – Family Medicine Physician, NPI 1689671372

DR. KERRY A NEISES (MD) is a healthcare provider. based in Dalton, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 43720 (GA). The NPI Number for DR. KERRY A NEISES (MD) is 1689671372

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KERRY A NEISES (MD)
NPI
1689671372
Phone
(706) 226-3139
Address
1107 MEMORIAL DR
Enumeration Date
7 July 2005
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Secondary Phone
7062263139125
Graduation Year
1994 (32 years ago)
PAC ID
7416099726
Group Practice PAC ID
3971575390
Professional Enrollment ID
I20100225000292
Address ID
GA307218654DA914XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. KERRY A NEISES (MD)

  • 1107, Memorial Drive, Dalton, Whitfield County, Georgia, 30720, United States

    SUITE 300

    DALTON, GA 307208662

    Phone: (706) 226-3139

    Fax: (706) 278-6606

    Type: Mailing

  • 914 VISTA DRIVE

    DALTON, GA 307218654

    Phone: (706) 226-3139

    Fax: (706) 278-6606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 191 Open Payments records for all available years, with a total value of $3,238.

Total Amount is formed as General ($3,238) + Research ($0) + Ownership ($0) = $3,238.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: PFIZER INC. ($444).

Total Amount

$3,238

General + Research + Ownership

Payments

191

Total payment records

General Amount

$3,238

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2010-02-25

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
I20100225000292IFamily 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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,344234$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,208211$0
36415Insertion of needle into vein for collection of blood sample1,150535$0
99214Established patient office or other outpatient visit, 30-39 minutes1,090528$0
80053Blood test, comprehensive group of blood chemicals1,035520$0
View full utilization report →

Insurance plans in this area (ZIP 30720)

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Provider's Procedures

DR. KERRY A NEISES (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA73562X-ray of knee, 3 views1212

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: 3971575390View full group profile
NameSpecialtyState
Family PracticeGA
Emergency Medicine, Internal MedicineGA
Internal MedicineGA
Nurse PractitionerTX
Internal Medicine, RheumatologyGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to DR. KERRY A NEISES (MD)?
The federal identifier for DR. KERRY A NEISES (MD) is NPI 1689671372.
Is DR. KERRY A NEISES (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. KERRY A NEISES (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. KERRY A NEISES (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KERRY A NEISES (MD)?
The snapshot lists Dalton, Georgia for DR. KERRY A NEISES (MD); download NPPES for the complete set.
What if Dalton, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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