Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Keely Dianne Small, PA-C

Individual provider Physician Assistant · NPI 1164672689

MS. Keely Dianne Small, PA-C is a Physician Assistant in Macon, Georgia. Graduated from Emory University School of Medicine in 2006, 20 years ago. Practices with Health Services of Central Georgia, a 299-clinician group and accepts Medicare assignment.

Years since qualifying
20
Trained at
Emory University School of Medicine
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1014 Forsyth St Ste 300
Macon, GA 31201-2025
Phone: (478) 633-8700
Fax: (478) 633-8710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164672689
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2008
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Health Services Of Central Georgia — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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