Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1801859426 Deactivated / Inactive NPI Male Practitioner

Dr. John P Kelley , DO

Orthopaedic Surgery • Tucker, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Kelley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 07, 2006
NPI Deactivation Date October 23, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Kelley, DO was a registered Orthopaedic Surgery practicing in Tucker, GA. Throughout an active medical career spanning 19 years, Dr. Kelley provided care at the practice location at 1459 MONTREAL RD until profile deactivation on 2025-10-23.

Practice Location & Contact Primary Location

Practice Address

1459 Montreal Rd
Ste 309

Tucker, GA 30084

Telephone 7704931812
Fax 7709385454
Associated Practice Facility / Clinic
🏢 Northlake Endoscopy Center Facility NPI 1871594499

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tucker, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Tucker, GA (797 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License GA 024276

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Ali Mohamed , MD

Internal Medicine

NPI 1154448967

Doctor of Medicine (M.D.)

Saeed Sayegh

Physical Therapist

NPI 1164098927
Ashley Boachie-Adjei , PA

Physician Assistant

NPI 1164671707

Physician Assistant

Jamie Miner , PT

Physical Therapist

NPI 1194926949

Physical Therapist

Yvette Fitzgerald , PT

Physical Therapist

NPI 1306463807

Physical Therapist

NPI 1427183243

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 23, 2025

Record deactivated on October 23, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1459 MONTREAL RD, STE 309, TUCKER, GA 30084 (Tel: 7704931812)

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Updated Business Mailing Address July 08, 2007

Registered at 1459 MONTREAL RD, STE 309, TUCKER, GA 30084 (Tel: 7704931812)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KELLEY, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #024276 in GA)

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Initial NPI Registration & Enumeration April 07, 2006

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: 1801859426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2006
Last Update: July 08, 2007
Deactivation Date: October 23, 2025

Mailing Address

1459 Montreal Rd, Ste 309

Tucker, GA 30084

Phone: 7704931812

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.