KRYSTLE C MILLIKAN PA - NPI 1194092346 - Physician Assistant in Marietta, GA

Q: What is Krystle Millikan's NPI number?

The NPI number for Krystle Millikan is 1194092346. It was assigned to this individual provider in the NPPES registry on November 16, 2011.

Q: What is Krystle Millikan's specialty?

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

Q: Is Krystle Millikan enrolled in Medicare?

No. Krystle Millikan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Krystle Millikan was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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About Krystle C Millikan Pa NPPES

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

KRYSTLE C MILLIKAN PA (NPI 1194092346) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (006319) and active in the NPI registry since November 2011. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194092346

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRYSTLE C MILLIKANCredential: PA

Location Address3405 DALLAS HWY SW STE 200Marietta, GA 30064-6426

Mailing Address3405 Dallas Hwy Sw Ste 200Marietta, GA 30064-6426 · (678) 802-8665 · Fax (678) 540-4250

Phone(678) 802-8665

Fax(678) 540-4250

Sole ProprietorNo

Enumeration DateNovember 16, 2011

Last NPPES UpdateSeptember 16, 2025

NPPES CertifiedSeptember 16, 2025

✔ NPI 1194092346 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 · 006319

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.

3405 DALLAS HWY SW STE 200, Marietta, GA 30064

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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

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Opted out of Medicare

Krystle C Millikan Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30064 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 6

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

DONNA MARIE LIMING WHNP-BC

Nurse Practitioner