KELLY TALLY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1932673902
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KELLY TALLY (DPM)
2314 EMERALD SPRINGS DR
DECATUR, GA 300352632
Phone: (478) 397-2662
Type: Mailing
North Decatur Road, Decatur, DeKalb County, Georgia, 30032, United States
DECATUR, GA 300335918
Phone: (404) 501-7188
Type: Location
590 S Enota Dr NE Ste 1
Gainesville, GA 305012433
Phone: (470) 252-5756
Fax: (470) 252-5829
Type: Location
2701 N Decatur Rd
Decatur, GA 300335918
Phone: (404) 501-7188
Type: Location
590 S ENOTA DR NE STE 1
GAINESVILLE, GA 305012433
Phone: (470) 252-5756
Fax: (470) 252-5829
Type: Mailing
1300 PEACHTREE INDUSTRIAL BLVD STE 4105
SUWANEE, GA 300244541
Phone: (470) 589-1204
Fax: (470) 589-1465
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Smith+Nephew, Inc. ($43).
Total Amount
$80
General + Research + Ownership
Payments
3
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $43 |
| ACUMED LLC | $36 |
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: 2020-04-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200423003330 | I | Podiatry | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 24 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 30035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | GA | |
| P O D I A T R Y | GA |
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