VICTORIA ANN KOWALCZYK PA-C
NPI 1104658228
Physician Assistant in Atlanta, GA

Q: What is Victoria Kowalczyk's NPI number?

The NPI number for Victoria Kowalczyk is 1104658228. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Q: What is Victoria Kowalczyk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since August 16, 2024PECOS Enrolled

1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-7100 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Mar 18, 2026, Aug 16, 2024 (3 updates tracked since 2024).

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About Victoria Ann Kowalczyk Pa-c NPPES

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

VICTORIA ANN KOWALCZYK PA-C (NPI 1104658228) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (13961) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2025).

NPPES Registry Identity

NPI1104658228

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVICTORIA ANN KOWALCZYKCredential: PA-C

Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059

Mailing Address195 Arizona Ave Ne Unit 176Atlanta, GA 30307-2244 · (239) 322-6818

Phone(404) 712-7100

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2025

Enumeration DateAugust 16, 2024

Last NPPES UpdateMay 14, 20263 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1104658228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 13961

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1364 CLIFTON RD NE, Atlanta, GA 30322

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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 (PECOS)

Victoria Ann Kowalczyk Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163991167

PECOS Enrollment IDI20260519004174

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 30322 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

$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.

GREGORY WESTON

Student in an Organized Health Care Education/Training Program