DR. PAUL DAVID JR. KELLAM (MD) – Otolaryngology Physician, NPI 1760554877

DR. PAUL DAVID JR. KELLAM (MD) is a healthcare provider. based in Dublin, Georgia. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 034168 (GA). The NPI Number for DR. PAUL DAVID JR. KELLAM (MD) is 1760554877

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL DAVID JR. KELLAM (MD)
NPI
1760554877
Phone
(478) 272-8382
Address
102 FAIRVIEW PARK DR
Enumeration Date
14 November 2006
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4782728382
Graduation Year
1989 (37 years ago)
PAC ID
7214007194
Group Practice PAC ID
3779653654
Professional Enrollment ID
I20080623000230
Address ID
GA310212500DU102XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in GA

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Provider Addresses for DR. PAUL DAVID JR. KELLAM (MD)

  • 102, Fairview Park Drive, Dublin, Laurens County, Georgia, 31021, United States

    DUBLIN, GA 310212500

    Phone: (478) 272-8382

    Fax: (478) 275-1964

    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 16 Open Payments records for all available years, with a total value of $507.

Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($156).

Total Amount

$507

General + Research + Ownership

Payments

16

Total payment records

General Amount

$507

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2008-06-23

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
I20080623000230IOtolaryngologyGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes331239$0
69210Removal of impacted ear wax11699$0
99214Established patient office or other outpatient visit, 30-39 minutes10383$0
99203New patient office or other outpatient visit, 30-44 minutes9696$0
31575Diagnostic exam of voice box using a flexible endoscope6255$0
View full utilization report →

Insurance plans in this area (ZIP 31021)

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Provider's Procedures

DR. PAUL DAVID JR. KELLAM (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYGA92567Eardrum testing using ear probe5651

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: 3779653654View full group profile
NameSpecialtyState
Qualified AudiologistGA
O T O L A R Y N G O L O G YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Does DR. PAUL DAVID JR. KELLAM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PAUL DAVID JR. KELLAM (MD) uses 1760554877.
Is DR. PAUL DAVID JR. KELLAM (MD) still practicing?
DR. PAUL DAVID JR. KELLAM (MD) is currently listed as active in the public NPI registry.
What is DR. PAUL DAVID JR. KELLAM (MD) best known for clinically?
Directory data describes DR. PAUL DAVID JR. KELLAM (MD) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. PAUL DAVID JR. KELLAM (MD) based?
DR. PAUL DAVID JR. KELLAM (MD) is tied to Dublin, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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