Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gordon M Kelly, MD

Individual provider Surgery Physician · NPI 1154314250

Gordon M Kelly, MD is a Surgery Physician in Lavonia, Georgia. Licensed in Georgia and Virginia. Registered with an NPI since 2005.

Licensed in
GA, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Clear Creek Pkwy Ste 1003
Lavonia, GA 30553-4174
Phone: (706) 356-4392
Fax: (866) 787-6602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 33373 (GA)
Surgery Physician Taxonomy 208600000X · Licence 0101257941 (VA)

Record details

NPI number1154314250
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESJune 16, 2016

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