DR. MICHAEL JAMES KELLY (M.D.) – Diagnostic Radiology Physician, NPI 1801044714

DR. MICHAEL JAMES KELLY (M.D.) is a healthcare provider. based in Fort gordon, Georgia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 63909 (GA). The NPI Number for DR. MICHAEL JAMES KELLY (M.D.) is 1801044714

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JAMES KELLY (M.D.)
NPI
1801044714
Phone
(504) 319-6598
Address
300 W HOSPITAL RD
Enumeration Date
4 September 2008
Last Update Date
29 August 2013

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7068683940
Graduation Year
2008 (18 years ago)
PAC ID
3870808694
Group Practice PAC ID
0244293322
Professional Enrollment ID
I20150821014186
Address ID
GA308093328EV4350XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for DR. MICHAEL JAMES KELLY (M.D.)

  • Fort Gordon, Augusta, Richmond County, Georgia, 30905, United States

    EISENHOWER ARMY MEDICAL CENTER

    FORT GORDON, GA 309055741

    Phone: (504) 319-6598

    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 5 Open Payments records for all available years, with a total value of $382.

Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($183).

Total Amount

$382

General + Research + Ownership

Payments

5

Total payment records

General Amount

$382

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2024-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150821014186IDiagnostic RadiologyGATBD
I20240731004757IDiagnostic RadiologySCTBD

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
71045X-ray of chest, 1 view1,219967$0
77067Screening mammography674674$0
77063Screening 3d breast mammography497497$0
70450Ct scan head or brain without contrast347331$0
71046X-ray of chest, 2 views318313$0
View full utilization report →

Insurance plans in this area (ZIP 30905)

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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: 0244293322View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyGA
-GA
Diagnostic RadiologyCO
Diagnostic RadiologyGA
Diagnostic Radiology, Interventional RadiologyOH
Diagnostic RadiologyGA

Reviews

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Frequently asked questions

Can I cross-check DR. MICHAEL JAMES KELLY (M.D.) using NPI 1801044714?
NPI 1801044714 belongs to DR. MICHAEL JAMES KELLY (M.D.); compare other details if you need extra assurance.
Is DR. MICHAEL JAMES KELLY (M.D.) still an active registrant?
DR. MICHAEL JAMES KELLY (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. MICHAEL JAMES KELLY (M.D.)?
DR. MICHAEL JAMES KELLY (M.D.) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL JAMES KELLY (M.D.) associated with Fort Gordon?
Public fields place DR. MICHAEL JAMES KELLY (M.D.) around Fort Gordon, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. MICHAEL JAMES KELLY (M.D.) is noted as September 4, 2008 where the registry provides it.

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