DR. JESSE BLAKE JR. KELLUM (M.D.) – Neurology Physician, NPI 1194735738

DR. JESSE BLAKE JR. KELLUM (M.D.) is a healthcare provider. based in Murfreesboro, Tennessee. specializing in NEUROLOGY, SLEEP MEDICINE. They hold the professional credentials M.D.. They hold a License No. 51465 (TN). The NPI Number for DR. JESSE BLAKE JR. KELLUM (M.D.) is 1194735738

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE BLAKE JR. KELLUM (M.D.)
NPI
1194735738
Phone
(615) 867-8090
Address
1272 GARRISON DR
Enumeration Date
8 August 2006
Last Update Date
26 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6158677925
Graduation Year
1980 (46 years ago)
PAC ID
0941284103
Group Practice PAC ID
4789589227
Professional Enrollment ID
I20140912000597
Address ID
TN371292598MU1272XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

611 NEUROLOGY in TN

Loading map...

Provider Addresses for DR. JESSE BLAKE JR. KELLUM (M.D.)

  • Murfreesboro Medical Clinic, 1272, Garrison Drive, Murfreesboro, Rutherford County, Tennessee, 37129, United States

    MURFREESBORO, TN 371292598

    Phone: (615) 867-8090

    Fax: (675) 867-8093

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 143 Open Payments records for all available years, with a total value of $3,721.

Total Amount is formed as General ($3,721) + Research ($0) + Ownership ($0) = $3,721.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($551).

Total Amount

$3,721

General + Research + Ownership

Payments

143

Total payment records

General Amount

$3,721

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2014-09-12

PECOS data refreshed: 2026-06-15

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
I20140912000597INeurologyTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes480322$0
99204New patient office or other outpatient visit, 45-59 minutes164164$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study13477$0
99213Established patient office or other outpatient visit, 20-29 minutes10791$0
36415Insertion of needle into vein for collection of blood sample8773$0
View full utilization report →

Insurance plans in this area (ZIP 37129)

Loading plans...

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: 4789589227View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. JESSE BLAKE JR. KELLUM (M.D.)?
NPI 1194735738 is assigned to DR. JESSE BLAKE JR. KELLUM (M.D.) under the national enumeration system.
Does this profile mean DR. JESSE BLAKE JR. KELLUM (M.D.) is currently active?
Yes — DR. JESSE BLAKE JR. KELLUM (M.D.) appears active in the national provider directory.
What field does DR. JESSE BLAKE JR. KELLUM (M.D.) work in?
You can think of DR. JESSE BLAKE JR. KELLUM (M.D.) as practicing within Neurology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JESSE BLAKE JR. KELLUM (M.D.)?
We surface Murfreesboro, Tennessee for DR. JESSE BLAKE JR. KELLUM (M.D.) based on available NPPES addresses.
Is DR. JESSE BLAKE JR. KELLUM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1194735738. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

JOHN C WITT (M.D.)

Neurology Physician
North Highland Avenue, Murfreesboro, Rutherford County, Tennessee, 37130, United States
NPI: 1972591923

ANTON EMIL COLEMAN (MD)

Neurology Physician
1048 Goodlette Rd N
NPI: 1740263227

DR. DEKA ACHUFUSI EFOBI (MD)

Neurology Physician
PO BOX 414
NPI: 1720059397
1000 N Oak Ave
NPI: 1336116128

DR. JOHN R. SCHNEIDER (M.D.)

Neurology Physician
Pin Oak Circle, Willowmet, Brentwood, Williamson County, Tennessee, United States
NPI: 1730145285

DR. PRAMOD A SHAH (MD)

Neurology Physician
5122, General Patton Avenue, Murfreesboro, Rutherford County, Middle Tennessee, Tennessee, 37129, United States
NPI: 1871506196

DR. CHOUDHURY M SALEKIN (MD)

Neurology Physician
927 Broadway St
NPI: 1649382276
1910 Customer Care Way
NPI: 1275645400