PAULINE KPANNAH
NPI 1033790993
Nurse Practitioner - Family in Peachtree City, GA

Q: 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.

Q: What is Pauline Kpannah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 14 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.

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment

564 CROSSTOWN DR, PEACHTREE CITY, GA 30269(770) 282-2944 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2025, Apr 11, 2023, Apr 20, 2021 (3 updates tracked since 2021).

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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

NPI1033790993

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePAULINE KPANNAH

Location Address564 CROSSTOWN DRPeachtree City, GA 30269-2916

Mailing AddressPo Box 932958Cleveland, OH 44193-0028

Phone(770) 282-2944

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 20, 2021

Last NPPES UpdateJune 2, 20253 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1033790993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN270758

564 CROSSTOWN DR, Peachtree City, GA 30269

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1456886464

PECOS Enrollment IDI20241129000063

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KELLIE HAUCK

Pharmacist