DOMINIK KISSING M.D.
NPI 1063477115
Obstetrics & Gynecology in Canton, GA

Q: What is Dominik Kissing's NPI number?

The NPI number for Dominik Kissing is 1063477115. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Dominik Kissing's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Dominik Kissing was last updated on August 16, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 20, 2006PECOS Enrolled

450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115(770) 224-1000 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dominik Kissing M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIK KISSING M.D. (NPI 1063477115) is an individual obstetrics & gynecology provider in Canton, Georgia, licensed in Georgia (64125) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063477115

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDOMINIK KISSINGCredential: M.D.

Location Address450 NORTHSIDE CHEROKEE BLVDCanton, GA 30115-8015

Mailing Address5780 Peachtree Dunwoody Road, Suite 300Atlanta, GA 30342-7927 · (678) 891-6541

Phone(770) 224-1000

Sole ProprietorNo

Enumeration DateApril 20, 2006

Last NPPES UpdateAugust 16, 2017

✔ NPI 1063477115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in GA · 64125

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115

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Other Identifiers 1

Medicaid003112332DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominik Kissing M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30115 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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

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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.

ERICA ADDISON AA-C

Anesthesiologist Assistant