JOHN W KELLEY (MD) – Cardiovascular Disease Physician, NPI 1740229038

JOHN W KELLEY (MD) is a healthcare provider. based in Blairsville, Georgia. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 16253 (GA). The NPI Number for JOHN W KELLEY (MD) is 1740229038

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
JOHN W KELLEY (MD)
NPI
1740229038
Phone
(706) 439-6380
Address
191 DEEP SOUTH FARM RD
Enumeration Date
5 June 2006
Last Update Date
20 October 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7709183000
Graduation Year
1973 (53 years ago)
PAC ID
5799798823
Group Practice PAC ID
0345321691
Professional Enrollment ID
I20060713000135
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

Provider Addresses for JOHN W KELLEY (MD)

  • 191 DEEP SOUTH FARM RD

    BLAIRSVILLE, GA 305122220

    Phone: (706) 439-6380

    Fax: (706) 439-6398

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Astellas Pharma US Inc ($136).

Total Amount

$168

General + Research + Ownership

Payments

7

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2006-07-13

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
I20060713000135ICardiovascular Disease (Cardiology)GATBD

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 30512)

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Provider's Procedures

JOHN W KELLEY (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies8080
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA85610Blood test, clotting time1044111

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: 0345321691View full group profile
NameSpecialtyState
Nurse PractitionerTN
-GA
-GA
-GA
Nurse PractitionerGA
Internal MedicineOH
Nurse PractitionerGA
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
-GA

Reviews

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Frequently asked questions

What unique ID ties claims to JOHN W KELLEY (MD)?
NPI 1740229038 is assigned to JOHN W KELLEY (MD) under the national enumeration system.
Does this profile mean JOHN W KELLEY (MD) is currently active?
Yes — JOHN W KELLEY (MD) appears active in the national provider directory.
What kind of provider is JOHN W KELLEY (MD)?
The page reflects Cardiovascular Disease Physician for JOHN W KELLEY (MD). Clinical services aligned with this taxonomy classification.
What location shows for JOHN W KELLEY (MD)?
We surface Blairsville, Georgia for JOHN W KELLEY (MD) based on available NPPES addresses.
What if Blairsville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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