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Kisa Meredith , PA-C, MHS

Physician Assistant β€’ Atlanta, GA

Active NPI 1750165775 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

960 Johnson Fy Rd Ne Ste 335
Atlanta, GA 303421625

Call 4044978700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

960 Johnson Fy Rd Ne Ste 335

Atlanta, GA 303421625

Telephone 4044978700
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Northside Surgical Professional Services Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Duke University School Of Medicine

Graduation Year

2023

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kisa Meredith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kisa Meredith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Atlanta and Georgia

1,186 active clinicians are listed under Physician Assistant with a practice address in Atlanta, GA (4,665 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Atlanta

9.2% of these 1,186 clinicians have the CMS telehealth indicator.

53.5% of these 1,186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES GA 11890

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES GA 11890
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20231114000648

Enrollment State Jurisdiction

GA

PECOS Control ID

2961859988

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Northside Surgical Professional Services Llc

960 Johnson Ferry Rd, Atlanta, GA 303421625

Phone: 4044978700

Northside Surgical Professional Services Llc

1000 Johnson Ferrry Rd Ne, Atlanta, GA 303421606

Phone: 4048518000

Northside Surgical Professional Services Llc

1000 Johnson Ferry Ne, Atlanta, GA 303421606

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Audrey Chasteen , PA

Physician Assistant

NPI 1083190706

Physician Assistant

Ashleigh Lewis , PA

Physician Assistant

NPI 1871233205

Physician Assistant

Tia Peeples , CCC-SLP

Speech-Language Pathologist

NPI 1093592941

Speech-Language Pathologist (Certificate of Clinical Competence)

Susan Vimawala , SLP

Specialist/Technologist - Speech-Language Assistant

NPI 1154892180

Speech-Language Pathologist

NPI 1497075774

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2024

Physician Assistant (license number reported to NPPES: GA 11890)

πŸ“
Updated Practice Location June 30, 2024

Registered at 960 JOHNSON FY RD NE STE 335, ATLANTA, GA 303421625 (Tel: 4044978700)

πŸ“
Updated Business Mailing Address June 30, 2024

Registered at 960 JOHNSON FY RD NE STE 335, ATLANTA, GA 303421625 (Tel: 4044978700)

πŸ‘€
Provider Name / Credentials Updated June 30, 2024

Recorded as KISA MEREDITH, PA-C, MHS

πŸ“
Updated Practice Location January 19, 2024

Registered at 135 MAPLE ST BLDG A, DECATUR, GA 300303953 (Tel: 4708918140)

πŸ“
Updated Business Mailing Address January 19, 2024

Registered at 135 MAPLE ST BLDG A, DECATUR, GA 300303953 (Tel: 4708918140)

βœ…
NPI Profile Active August 21, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 21, 2023

Registered at 6300 HOSPITAL PKWY STE 100, JOHNS CREEK, GA 300971829 (Tel: 7707716591)

πŸ“
Business Mailing Address (Initial Record) August 21, 2023

Registered at 6300 HOSPITAL PKWY STE 100, JOHNS CREEK, GA 300971829

πŸ‘€
Provider Name / Credentials (Initial Record) August 21, 2023

Recorded as KISA MEREDITH, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2023

Physician Assistant

🟒
Initial NPI Registration & Enumeration August 21, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750165775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2023
Last Update: July 22, 2024
Sole Proprietor: No

Other Physician Assistants in Atlanta

All Physician Assistants in Atlanta

Mailing Address

960 Johnson Fy Rd Ne Ste 335

Atlanta, GA 303421625

Phone: 4044978700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.