Active NPI 1164672689 Individual Practitioner Female Practitioner

Keely Dianne Small , PA-C

Physician Assistant • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Keely Small, PA-C is a certified Physician Assistant practicing in Macon, GA. With approximately 20 years of clinical experience since graduating from Emory University School Of Medicine in 2006, Keely Small delivers high-quality medical care to the local community at 1014 FORSYTH ST.

Keely Small is affiliated with Health Services Of Central Georgia and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital inpatient care per day, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1014 Forsyth St
Ste 300

Macon, GA 312012025

Telephone 4786338700

Fax 4786338710

Associated Practice Facility / Clinic

🏢 Vein Specialists Of The South Facility NPI 1861760027

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Macon, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +7.0 yrs vs City Avg

City Avg: 13.0 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

90 Specialists

Practicing in Macon, GA (4726 Statewide)

Telehealth Adoption Rate

4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Small (20 Years) 20 Yrs

Macon Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	49	$248.00	$66.64
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$282.97	$70.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	15	$135.00	$41.98
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$137.50	$76.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$192.50	$94.08
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$137.50	$73.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$330.00	$138.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	42	$130.61	$73.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$182.23	$91.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$320.77	$135.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$175.00	$93.10
99213 Established patient office or other outpatient visit, typically 15 minutes	63	48	$113.10	$75.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$300.00	$138.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$175.00	$89.59
99441 Telephone medical discussion with physician, 5-10 minutes	45	45	$60.00	$35.42
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$110.00	$61.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	226	$114.00	$59.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	141	$176.00	$87.81
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$120.00	$60.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$72.00	$36.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$174.00	$84.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	223	$114.00	$58.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	142	$176.00	$86.96
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$120.00	$60.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$174.00	$87.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$72.00	$35.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	356	306	$99.00	$58.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	161	$146.00	$85.89
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$110.61	$60.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$164.53	$87.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$66.91	$34.80

Medical Specialties & State Licenses

CMS Verified: 2020-01-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Health Services Of Central Georgia

1120 Morningside Dr, Perry, GA 310692906

Phone: 4789873600

Health Services Of Central Georgia

777 Hemlock St, Macon, GA 312012102

Phone: 4786331000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Amelia Granger , PA-C

Physician Assistant

NPI 1063009041

Physician Assistant (Certified)

Celeste Vega , FNP-C

Nurse Practitioner - Family

NPI 1083505069

Family Nurse Practitioner (Certified)

Dr. Joel Judah , MD

Internal Medicine - Gastroenterology

NPI 1215097852

Doctor of Medicine (M.D.)

Dr. William Fackler , MD

Internal Medicine - Gastroenterology

NPI 1245236082

Doctor of Medicine (M.D.)

Tina Murray , NP

Nurse Practitioner - Family

NPI 1366694044

Nurse Practitioner

Doniece Cummins , RN, ANP-BC

Nurse Practitioner - Adult Health

NPI 1477890887

Registered Nurse, ANPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address January 17, 2020

Registered at 556 3RD ST, STE A, MACON, GA 312017993 (Tel: 4787432472)

👤

Provider Name / Credentials Updated October 17, 2019

Recorded as KEELY SMALL, PA-C

✅

NPI Profile Active October 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2012

Registered at 1014 FORSYTH ST, STE 300, MACON, GA 312012025 (Tel: 4786338700)

📍

Updated Business Mailing Address October 02, 2012

Registered at 1014 FORSYTH ST, STE 300, MACON, GA 312012025 (Tel: 4786338700)

👤

Provider Name / Credentials Updated October 02, 2012

Recorded as KEELY POORE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2012

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164672689

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 19, 2008

Last Update: January 17, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

556 3rd St, Ste A

Macon, GA 312017993

Phone: 4787432472

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.