KALLISTA KILGORE NP
NPI 1194679027
Nurse Practitioner in Carrollton, GA

Active since February 26, 2026PECOS Enrolled
706 DIXIE ST STE 320, CARROLLTON, GA 30117(770) 812-9326 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kallista Kilgore Np NPPES

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

KALLISTA KILGORE NP (NPI 1194679027) is an individual nurse practitioner in Carrollton, Georgia, licensed in Georgia (APRN-NP712087) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194679027
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKALLISTA KILGORECredential: NP
Location Address706 DIXIE ST STE 320Carrollton, GA 30117-3890
Mailing Address25 Harpers RunCarrollton, GA 30117-5209 · (414) 394-0049
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
NPI 1194679027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · APRN-NP712087
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.
706 DIXIE ST STE 320, Carrollton, GA 30117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kallista Kilgore Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709361991
PECOS Enrollment IDI20260325003239
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
706 DIXIE ST STE 320
CARROLLTON, GA 30117
Nurse Practitioner (Family)
706 DIXIE ST STE 320
CARROLLTON, GA 30117
Nurse Practitioner
706 DIXIE ST STE 320
CARROLLTON, GA 30117
Nurse Practitioner
706 DIXIE ST STE 320
CARROLLTON, GA 30117
Nurse Practitioner (Family)
706 DIXIE ST STE 320
CARROLLTON, GA 30117
Nurse Practitioner
706 DIXIE ST STE 320
CARROLLTON, GA 30117
Nurse Practitioner (Family)
706 DIXIE ST STE 320
CARROLLTON, GA 30117
Nurse Practitioner (Acute Care)
706 DIXIE ST STE 320
CARROLLTON, GA 30117

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 Kallista Kilgore's NPI number?

The NPI number for Kallista Kilgore is 1194679027. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Where is Kallista Kilgore located?

Kallista Kilgore practices at 706 Dixie St Ste 320, Carrollton, GA 30117. The listed phone number is (770) 812-9326.

What is Kallista Kilgore's specialty?

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

Is Kallista Kilgore enrolled in Medicare?

Yes. Kallista Kilgore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kallista Kilgore was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.