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KEVIN A KISSOON PA
NPI 1124796289
Physician Assistant in Brookhaven, GA

Active since September 02, 2021PECOS EnrolledAccepts Medicare Assignment
1377 DRESDEN DR NE, BROOKHAVEN, GA 30319(407) 620-2007 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin A Kissoon Pa NPPES

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

KEVIN A KISSOON PA (NPI 1124796289) is an individual physician assistant in Brookhaven, Georgia and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124796289
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN A KISSOONCredential: PA
Location Address1377 DRESDEN DR NEBrookhaven, GA 30319-3400
Mailing Address1377 Dresden Dr NeBrookhaven, GA 30319-3400 · (407) 620-2007
Phone(407) 620-2007
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 2, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1124796289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1377 DRESDEN DR NE, Brookhaven, GA 30319
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin A Kissoon Pa 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 ID4284009325
PECOS Enrollment IDI20241126003886
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services25 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30319 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLIN ELIZABETH HARPER MS, RD, LD
Dietitian, Registered
1377 DRESDEN DR NE
BROOKHAVEN, GA 30319
Dekalb County (404) 771-6072
MS. LINDSAY MARIE BAKER AGACNP-BC
Nurse Practitioner (Acute Care)
1377 DRESDEN DR NE, APT 2264
BROOKHAVEN, GA 30319
Dekalb County (770) 827-8604

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 Kevin Kissoon's NPI number?

The NPI number for Kevin Kissoon is 1124796289. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Kevin Kissoon located?

Kevin Kissoon practices at 1377 Dresden Dr NE, Brookhaven, GA 30319. The listed phone number is (407) 620-2007.

What is Kevin Kissoon's specialty?

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

Is Kevin Kissoon enrolled in Medicare?

Yes. Kevin Kissoon 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.

What insurance does Kevin Kissoon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Kevin Kissoon 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 Kevin Kissoon was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.