KATHRYN BERTACCHI
NPI 1174055891
Psychiatry & Neurology - Psychiatry in Roswell, GA
About Kathryn Bertacchi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN BERTACCHI (NPI 1174055891) is an individual psychiatry provider in Roswell, Georgia, licensed in Georgia (89208) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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
Kathryn Bertacchi 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 Kathryn Bertacchi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Jacksonville, FL 32207
- Reassigned Medicare billing, Georgia enrollment
- 66 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 30076 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSWELL, GA 30076
ROSWELL, GA 30076
ROSWELL, GA 30076
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 Kathryn Bertacchi's NPI number?
The NPI number for Kathryn Bertacchi is 1174055891. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Kathryn Bertacchi located?
Kathryn Bertacchi practices at 300 Colonial Center Pkwy, Roswell, GA 30076. The listed phone number is (833) 351-8255.
What is Kathryn Bertacchi's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Kathryn Bertacchi enrolled in Medicare?
Yes. Kathryn Bertacchi 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 Kathryn Bertacchi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Bertacchi reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Kathryn Bertacchi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Bertacchi accept?
Health plans from UnitedHealthcare list Kathryn Bertacchi 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 Kathryn Bertacchi was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kathryn Bertacchi · NPI 1174055891
Psychiatry physician in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1174055891 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 89208 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 COLONIAL CENTER PKWY, Roswell, GA 30076-4899
- **Phone:** (833) 351-8255
## 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): Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA); Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 9, 2025
- **Other identifiers:** Other 89208 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174055891) · Data from the CMS NPPES public registry.