Individual provider Active NPI

Deborah Kelly, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1184761439
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044255 Issued in GA
Practice address
3280 Howell Mill Rd NW Ste 150
Atlanta, GA 30327-4102
Phone
(404) 351-7467
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044255 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW Ste 150
Atlanta, GA 30327-4102

Mailing address

3280 Howell Mill Rd NW Ste 150
Atlanta, GA 30327-4102
Phone (404) 351-7467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000848 GA Practitioner - Internal Medicine 3375735954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Internal Medicine, P.C.Group PAC ID 3971815036, 13 clinicians

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite 150
Atlanta, GA 30327-4102
Phone 40435174674106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044255GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Internal Medicine, P.C. Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste 150
Atlanta, GA 30327
Phone (404) 351-7467

105 Collier Rd NW
Ste 5040
Atlanta, GA 30309
Phone (404) 350-6647

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

4890 Roswell Rd
Ste 100
Sandy Springs, GA 30342
Phone (404) 351-7467

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1184761439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274102",
            "telephone_number": "404-351-7467",
            "fax_number": "404-352-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274102",
            "telephone_number": "404-351-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-02-16",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.