KARA ASHLEY DE SOUZA DNP, APRN, AGACNP-BC
NPI 1053936468
Nurse Practitioner - Gerontology in Atlanta, GA
About Kara Ashley De Souza Dnp, Aprn, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARA ASHLEY DE SOUZA DNP, APRN, AGACNP-BC (NPI 1053936468) is an individual gerontology provider in Atlanta, Georgia, licensed in Georgia (NP223042) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Kara Ashley De Souza Dnp, Aprn, Agacnp-bc 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
2Medicare enrollment records show Kara De Souza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 466 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 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 30342 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30342
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 Kara De Souza's NPI number?
The NPI number for Kara De Souza is 1053936468. It was assigned to this individual provider in the NPPES registry on June 11, 2020.
Where is Kara De Souza located?
Kara De Souza practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 861-3060.
What is Kara De Souza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kara De Souza enrolled in Medicare?
Yes. Kara De Souza 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 Kara De Souza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kara De Souza reassigns Medicare benefits to 2 organizations: Northside Primary Care Professional Services,llc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Kara De Souza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kara De Souza was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kara Ashley De Souza, DNP, APRN, AGACNP-BC · NPI 1053936468
Gerontology physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since June 11, 2020.
## Identity
- **NPI:** 1053936468 (Entity type: Individual)
- **Enumerated:** June 11, 2020
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** NP223042 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 JOHNSON FERRY RD, Atlanta, GA 30342-1611
- **Phone:** (404) 861-3060
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Northside Primary Care Professional Services,llc (NPI 1922397553, Atlanta, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** January 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053936468) · Data from the CMS NPPES public registry.