KELLIE ELISE WYDRINSKI PAC
NPI 1184471377
Physician Assistant in Atlanta, GA

Active since May 04, 2024PECOS EnrolledAccepts Medicare Assignment
980 JOHNSON FERRY RD STE 820, ATLANTA, GA 30342(404) 252-9307(404) 252-5839 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2024, May 4, 2024 (2 updates tracked since 2024).

About Kellie Elise Wydrinski Pac NPPES

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

KELLIE ELISE WYDRINSKI PAC (NPI 1184471377) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (12383) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184471377
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE ELISE WYDRINSKICredential: PAC
Location Address980 JOHNSON FERRY RD STE 820Atlanta, GA 30342-1608
Mailing Address980 Johnson Ferry Rd Ste 820Atlanta, GA 30342-1608 · (404) 252-9307 · Fax (404) 252-5839
Fax(404) 252-5839
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 4, 2024
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
NPI 1184471377 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 · 12383
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.

980 JOHNSON FERRY RD STE 820, Atlanta, GA 30342

Accepted 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

Kellie Elise Wydrinski Pac 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 ID3577009489
PECOS Enrollment IDI20240726001358
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services30 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

Internal Medicine (Gastroenterology)
980 JOHNSON FERRY RD STE 820
ATLANTA, GA 30342
Physician Assistant (Medical)
980 JOHNSON FERRY RD STE 820
ATLANTA, GA 30342

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 Kellie Wydrinski's NPI number?

The NPI number for Kellie Wydrinski is 1184471377. It was assigned to this individual provider in the NPPES registry on May 4, 2024.

Where is Kellie Wydrinski located?

Kellie Wydrinski practices at 980 Johnson Ferry Rd Ste 820, Atlanta, GA 30342. The listed phone number is (404) 252-9307.

What is Kellie Wydrinski's specialty?

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

Is Kellie Wydrinski enrolled in Medicare?

Yes. Kellie Wydrinski 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 Kellie Wydrinski accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kellie Wydrinski 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.

Is Kellie Wydrinski affiliated with any hospitals?

According to CMS data, Kellie Wydrinski is affiliated with Northside Hospital Forsyth, Wellstar Kennestone Regional Medical Center, Emory University Hospital Midtown, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Kellie Wydrinski was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.