DR. KELLY G WILLIAMS (M.D.) – Specialist, NPI 1255339701

DR. KELLY G WILLIAMS (M.D.) is a healthcare provider. based in Murfreesboro, Tennessee. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD0000038812 (TN). The NPI Number for DR. KELLY G WILLIAMS (M.D.) is 1255339701

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY G WILLIAMS (M.D.)
NPI
1255339701
Phone
(615) 867-8030
Address
1272 GARRISON DR
Enumeration Date
8 July 2005
Last Update Date
26 June 2020

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
6158677925
Graduation Year
2000 (26 years ago)
PAC ID
6507839388
Group Practice PAC ID
4789589227
Professional Enrollment ID
I20040818001441
Address ID
TN371292598MU1272XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

898 OBSTETRICS/GYNECOLOGY in TN

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Provider Addresses for DR. KELLY G WILLIAMS (M.D.)

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

    MURFREESBORO, TN 371292598

    Phone: (615) 867-8030

    Fax: (615) 848-1182

    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 40 Open Payments records for all available years, with a total value of $856.

Total Amount is formed as General ($856) + Research ($0) + Ownership ($0) = $856.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Astellas Pharma US Inc ($144).

Total Amount

$856

General + Research + Ownership

Payments

40

Total payment records

General Amount

$856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2004-08-18

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
I20040818001441IObstetrics/GynecologyTNTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination5353$0
99213Established patient office or other outpatient visit, 20-29 minutes4231$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina1311$0
99212Established patient office or other outpatient visit, 10-19 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 37129)

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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: 4789589227View full group profile
NameSpecialtyState
Family PracticeTN
Physician AssistantTN
Nurse PractitionerTN
Internal MedicineTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Physical Medicine And Rehabilitation, Interventional Pain ManagementTN

Reviews

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Frequently asked questions

How do I look up DR. KELLY G WILLIAMS (M.D.) by NPI?
Use NPI 1255339701 when you need to reference DR. KELLY G WILLIAMS (M.D.) in forms, claims, or directories.
Is DR. KELLY G WILLIAMS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. KELLY G WILLIAMS (M.D.) treat or focus on?
Patients typically see DR. KELLY G WILLIAMS (M.D.) under the specialty Other Service Providers. Clinical services aligned with this taxonomy classification.
What location shows for DR. KELLY G WILLIAMS (M.D.)?
We surface Murfreesboro, Tennessee for DR. KELLY G WILLIAMS (M.D.) based on available NPPES addresses.
What if Murfreesboro, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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