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

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: October 18, 2026.

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Dominik Kissing reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlanta Women's Health Group, P.C.
23 mi
Specialist
5780 PEACHTREE DUNWOODY ROAD, SUITE 300
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Atlanta Women's Health Group PC
  • 77 clinicians in this Medicare group
NPI 1174501902 (404) 303-1224

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 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.

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
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (256) 710-5535
STACY ANN CARTMELL
Internal Medicine (Interventional Cardiology)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
ANNA O DYER
Registered Nurse (Critical Care Medicine)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
SARAH TURNER PEELE RD
Dietitian, Registered
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
DR. CHRISTOPHER CHANNING MORRISON PHARMD
Pharmacist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
AARON ROBERT MILLAGE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 720-5100
DRAKE CHRISTIAN DEHOFF MD
Hospitalist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
CHERYL NEELY BURSMITH
Pharmacist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1200

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 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.

Where is Dominik Kissing located?

Dominik Kissing practices at 450 Northside Cherokee Blvd, Canton, GA 30115. The listed phone number is (770) 224-1000.

What is Dominik Kissing's specialty?

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

Is Dominik Kissing enrolled in Medicare?

Yes. Dominik Kissing is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominik Kissing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominik Kissing reassigns Medicare benefits to Atlanta Women's Health Group, P.C. (Atlanta, GA). The 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 Dominik Kissing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominik Kissing 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 Dominik Kissing 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 Dominik Kissing was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.