BOBBY CHAD KELLETT (P.A.-C.) – Physician Assistant, NPI 1841573805

BOBBY CHAD KELLETT (P.A.-C.) is a healthcare provider. based in Athens, Georgia. specializing in Physician Assistant. They hold the professional credentials P.A.-C.. They hold a License No. 2019 (TN). The NPI Number for BOBBY CHAD KELLETT (P.A.-C.) is 1841573805

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
BOBBY CHAD KELLETT (P.A.-C.)
NPI
1841573805
Phone
(404) 392-3548
Address
1230 BAXTER ST
Enumeration Date
26 September 2011
Last Update Date
8 August 2018

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7067143562
Graduation Year
2011 (15 years ago)
PAC ID
8022281674
Group Practice PAC ID
5991090540
Professional Enrollment ID
I20150731015916
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for BOBBY CHAD KELLETT (P.A.-C.)

  • 1230 BAXTER ST

    ATHENS, GA 306063712

    Phone: (404) 392-3548

    Type: Mailing

  • 2061 EXPERIMENT STATION RD # 505

    WATKINSVILLE, GA 30677

    Phone: (706) 310-0324

    Type: Location

  • 1230 Baxter St

    Athens, GA 306063712

    Phone: (706) 389-3993

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-07-31

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
I20111027000361IPhysician AssistantTNTBD
I20150731015916IPhysician 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
99284Emergency department visit with moderate level of medical decision making143133$0
99283Emergency department visit with low level of medical decision making6865$0
99285Emergency department visit with high level of medical decision making2828$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2020$0
99282Emergency department visit with straightforward medical decision making1615$0
View full utilization report →

Insurance plans in this area (ZIP 30606)

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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: 5991090540View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
-GA
Physician AssistantGA
Physician AssistantGA
-GA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA

Reviews

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Frequently asked questions

Is BOBBY CHAD KELLETT (P.A.-C.) listed with a National Provider Identifier?
Yes — BOBBY CHAD KELLETT (P.A.-C.) has NPI 1841573805 on file in the registry.
Is BOBBY CHAD KELLETT (P.A.-C.) shown as active in public data?
Registry records indicate BOBBY CHAD KELLETT (P.A.-C.) maintains an active NPI.
What clinical focus is listed for BOBBY CHAD KELLETT (P.A.-C.)?
At a glance, BOBBY CHAD KELLETT (P.A.-C.) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BOBBY CHAD KELLETT (P.A.-C.) located near Athens?
BOBBY CHAD KELLETT (P.A.-C.) currently maps to Athens, Georgia in this extract.
When was this NPI issued?
Enumeration for BOBBY CHAD KELLETT (P.A.-C.) is noted as September 26, 2011 where the registry provides it.

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