KORY ZACHERY PA-C
NPI 1407314370
Physician Assistant in Carrollton, GA

Q: What is Kory Zachery's NPI number?

The NPI number for Kory Zachery is 1407314370. It was assigned to this individual provider in the NPPES registry on March 8, 2019.

Q: What is Kory Zachery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kory Zachery was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 08, 2019PECOS EnrolledAccepts Medicare Assignment

157 CLINIC AVE STE 202, CARROLLTON, GA 30117(770) 333-2220 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2025, Mar 8, 2019 (2 updates tracked since 2019).

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About Kory Zachery Pa-c NPPES

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

KORY ZACHERY PA-C (NPI 1407314370) is an individual physician assistant in Carrollton, Georgia, licensed in Georgia (9183) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407314370

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKORY ZACHERYCredential: PA-C

Location Address157 CLINIC AVE STE 202Carrollton, GA 30117-4454

Mailing Address220 Winchester DrVilla Rica, GA 30180-7421

Phone(770) 333-2220

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 8, 2019

Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1407314370 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 · 9183

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.

157 CLINIC AVE STE 202, Carrollton, GA 30117

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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

Kory Zachery Pa-c 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 ID2466998810

PECOS Enrollment IDI20240723000392

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.

Hospital Affiliations CMS Care Compare 3

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110015

Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County

Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111320

Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County

Emergency services

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

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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 5

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

MRS. AMBER NICOLE BEDLEY RN, FNP

Nurse Practitioner (Family)