KELLY E DAUS (PA-C) – Medical Physician Assistant, NPI 1831421908

KELLY E DAUS (PA-C) is a healthcare provider. based in Glennville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5597 (GA). The NPI Number for KELLY E DAUS (PA-C) is 1831421908

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KELLY E DAUS (PA-C)
NPI
1831421908
Phone
(912) 654-0475
Address
601 S VETERANS BLVD
Enumeration Date
1 February 2010
Last Update Date
1 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9126540475
Graduation Year
2003 (23 years ago)
PAC ID
3577465186
Group Practice PAC ID
7618462201
Professional Enrollment ID
I20100310000794
Address ID
GA304271775GL601XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for KELLY E DAUS (PA-C)

  • 601 S VETERANS BLVD

    GLENNVILLE, GA 304271775

    Phone: (912) 654-0475

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$15
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: 2010-03-10

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
I20100310000794IPhysician AssistantGATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg31137$0
99214Established patient office or other outpatient visit, 30-39 minutes180103$0
99213Established patient office or other outpatient visit, 20-29 minutes13897$0
96372Injection of drug or substance under skin or into muscle9049$0
G0442Annual alcohol misuse screening, 5 to 15 minutes5151$0
View full utilization report →

Insurance plans in this area (ZIP 30427)

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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: 7618462201View full group profile
NameSpecialtyState
Family PracticeGA

Reviews

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Frequently asked questions

What is KELLY E DAUS (PA-C)'s NPI number?
KELLY E DAUS (PA-C)'s NPI is 1831421908 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KELLY E DAUS (PA-C)?
For scheduling context, KELLY E DAUS (PA-C) is shown as active in the registry.
What kind of doctor is KELLY E DAUS (PA-C)?
KELLY E DAUS (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is KELLY E DAUS (PA-C) located near Glennville?
KELLY E DAUS (PA-C) currently maps to Glennville, Georgia in this extract.
Can I trust this NPI listing for KELLY E DAUS (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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