PAULINE KPANNAH
NPI 1033790993
Nurse Practitioner - Family in Peachtree City, GA
About Pauline Kpannah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAULINE KPANNAH (NPI 1033790993) is an individual family provider in Peachtree City, Georgia, licensed in Georgia (RN270758) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pauline Kpannah is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Pauline Kpannah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tucker, GA 30084
- Reassigned Medicare billing, Georgia enrollment
- 6 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Georgia enrollment
- 110 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Georgia enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEACHTREE CITY, GA 30269
PEACHTREE CITY, GA 30269
PEACHTREE CITY, GA 30269
PEACHTREE CITY, GA 30269
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pauline Kpannah's NPI number?
The NPI number for Pauline Kpannah is 1033790993. It was assigned to this individual provider in the NPPES registry on April 20, 2021.
Where is Pauline Kpannah located?
Pauline Kpannah practices at 564 Crosstown Dr, Peachtree City, GA 30269. The listed phone number is (770) 282-2944.
What is Pauline Kpannah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pauline Kpannah enrolled in Medicare?
Yes. Pauline Kpannah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Pauline Kpannah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pauline Kpannah reassigns Medicare benefits to 3 organizations: Careperks LLC (Tucker, GA), Theoria Medical (Novi, MI) and Complexcare Medical Group Midwest M PLLC (Novi, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pauline Kpannah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pauline Kpannah accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Pauline Kpannah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pauline Kpannah was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pauline Kpannah · NPI 1033790993
Family physician in Peachtree City, Georgia. Individual provider, active in the CMS NPPES registry since April 20, 2021.
## Identity
- **NPI:** 1033790993 (Entity type: Individual)
- **Enumerated:** April 20, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN270758 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 564 CROSSTOWN DR, Peachtree City, GA 30269-2916
- **Phone:** (770) 282-2944
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Careperks LLC (NPI 1992323398, Tucker, GA); Theoria Medical (NPI 1609362375, Novi, MI); Complexcare Medical Group Midwest M PLLC (NPI 1528851607, Novi, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033790993) · Data from the CMS NPPES public registry.