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DEJA SHARI KOENIG NP
NPI 1184264525
Nurse Practitioner in Powder Springs, GA

Active since January 14, 2020PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
4400 BROWNSVILLE RD STE 105, POWDER SPRINGS, GA 30127(516) 830-5338(470) 523-2573 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2025, Dec 16, 2020, Dec 11, 2020 and 1 more (4 updates tracked since 2020).

About Deja Shari Koenig Np NPPES

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

DEJA SHARI KOENIG NP (NPI 1184264525) is an individual nurse practitioner in Powder Springs, Georgia, licensed in Georgia (APRN-NP282683) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184264525
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEJA SHARI KOENIGCredential: NP
Location Address4400 BROWNSVILLE RD STE 105Powder Springs, GA 30127-8902
Mailing Address4034 Oak Hill RdDouglasville, GA 30135-5026 · (516) 830-5338 · Fax (470) 523-2573
Phone(516) 830-5338
Fax(470) 523-2573
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 14, 2020
Last NPPES UpdateOctober 29, 20254 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1184264525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · APRN-NP282683
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95013548 (CA)
4400 BROWNSVILLE RD STE 105, Powder Springs, GA 30127
Open in Google Maps ↗

Other Names 1

Former Name (1)Deja Shari Grant

Secondary Practice Locations 2

Location 15885 Glenridge Dr Ste 100Atlanta, GA 30328-5572 · Phone (678) 321-8546
Location 21375 Blossom Hill Rd Ste 49San Jose, CA 95118-3806 · Phone (408) 645-7073

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Deja Shari Koenig Np 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 ID2769894682
PECOS Enrollment IDI20201218000304
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 Reassignments

2

Medicare enrollment records show Deja Koenig reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
0.4 mi
Family Medicine
4250 BROWNSVILLE RD
Powder Springs, GA 30127
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1093011603 (678) 567-8000
True North Health Navigation LLC
20 mi
Emergency Medicine
5885 GLENRIDGE DR STE 100
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 69 clinicians in this Medicare group
NPI 1578047536 (678) 321-8546

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
112 services14 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
71 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services36 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
28 services28 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30127 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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.

MS. CARINA VERONICA GITTENS MSN, RN
Registered Nurse (Addiction (Substance Use Disorder))
4400 BROWNSVILLE RD STE 105
POWDER SPRINGS, GA 30127
Cobb County (609) 470-0571
ESTHER ZOGHEH
Nurse Practitioner (Psychiatric/Mental Health)
4400 BROWNSVILLE RD STE 105
POWDER SPRINGS, GA 30127
Cobb County (470) 399-2680

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 Deja Koenig's NPI number?

The NPI number for Deja Koenig is 1184264525. It was assigned to this individual provider in the NPPES registry on January 14, 2020. The provider is also known as Deja Shari Grant.

Where is Deja Koenig located?

Deja Koenig practices at 4400 Brownsville Rd Ste 105, Powder Springs, GA 30127. The listed phone number is (516) 830-5338.

What is Deja Koenig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Deja Koenig enrolled in Medicare?

Yes. Deja Koenig 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 Deja Koenig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deja Koenig reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Powder Springs, GA) and True North Health Navigation LLC (Atlanta, GA). 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 Deja Koenig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deja Koenig accept?

Health plans from Alliant Health Plans, Inc. list Deja Koenig 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 Deja Koenig was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.