KALLISTA KILGORE NP
NPI 1194679027
Nurse Practitioner in Carrollton, GA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kallista Kilgore Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kallista Kilgore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carrollton, GA 30117
- Reassigned Medicare billing, Georgia enrollment
- 232 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 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.
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.
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.
Which organization bills Medicare for Kallista Kilgore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kallista Kilgore reassigns Medicare benefits to Tanner Medical Group Inc (Carrollton, GA). The 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 Kallista Kilgore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.
# Kallista Kilgore, NP · NPI 1194679027
Nurse Practitioner physician in Carrollton, Georgia. Individual provider, active in the CMS NPPES registry since February 26, 2026.
## Identity
- **NPI:** 1194679027 (Entity type: Individual)
- **Enumerated:** February 26, 2026
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN-NP712087 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 706 DIXIE ST STE 320, Carrollton, GA 30117-3890
- **Phone:** (770) 812-9326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tanner Medical Group Inc (NPI 1396979787, Carrollton, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194679027) · Data from the CMS NPPES public registry.