KATHRYN LYNNETTE ELMORE M.D.
NPI 1245325547
Internal Medicine - Nephrology in Lawrenceville, GA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
19.43/100
CMS Quality Rating
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046(404) 645-7150 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2016, Jun 21, 2016 (2 updates tracked since 2016).

About Kathryn Lynnette Elmore M.d. NPPES

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

KATHRYN LYNNETTE ELMORE M.D. (NPI 1245325547) is an individual nephrology provider in Lawrenceville, Georgia, licensed in Georgia (055942) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1245325547
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameKATHRYN LYNNETTE ELMORECredential: M.D.
Location Address595 HURRICANE SHOALS RD NW STE 100Lawrenceville, GA 30046
Mailing Address497 Winn Way Ste A210Decatur, GA 30030 · (404) 294-7033 · Fax (404) 296-4661
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1998
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 31, 20182 updates tracked since enumeration
NPI 1245325547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in GA · 055942
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

595 HURRICANE SHOALS RD NW STE 100, Lawrenceville, GA 30046

Secondary Practice Location 1

Location 1497 Winn Way Ste A210Decatur, GA 30030 · Phone (404) 294-7033 · Fax (404) 296-4661

Other Identifiers 1

Medicaid367388655AGA

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

Kathryn Lynnette Elmore M.d. 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 ID1052225059
PECOS Enrollment IDI20050818000145
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 7

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
235 services43 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.
231 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services46 patients
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.
62 services29 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
41 services23 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.
25 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

19.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost64.79

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Acute Care)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046

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 Kathryn Elmore's NPI number?

The NPI number for Kathryn Elmore is 1245325547. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kathryn Elmore located?

Kathryn Elmore practices at 595 Hurricane Shoals Rd NW Ste 100, Lawrenceville, GA 30046. The listed phone number is (404) 645-7150.

What is Kathryn Elmore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kathryn Elmore enrolled in Medicare?

Yes. Kathryn Elmore 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 Kathryn Elmore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kathryn Elmore 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 Kathryn Elmore affiliated with any hospitals?

According to CMS data, Kathryn Elmore is affiliated with Piedmont Newton Hospital, Emory Decatur Hospital, Piedmont Rockdale Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Kathryn Elmore was last updated on May 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.