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KOFI-ANN MCDERMOTT NP
NPI 1427821990
Nurse Practitioner in Lithonia, GA

Active since November 06, 2023PECOS EnrolledAccepts Medicare Assignment
5700 HILLANDALE DR, LITHONIA, GA 30058(770) 981-5431(770) 981-5515 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2024, Nov 13, 2023, Nov 6, 2023 (3 updates tracked since 2023).

About Kofi-ann Mcdermott Np NPPES

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

KOFI-ANN MCDERMOTT NP (NPI 1427821990) is an individual nurse practitioner in Lithonia, Georgia, licensed in Georgia (RN272681) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Decatur, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1427821990
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKOFI-ANN MCDERMOTTCredential: NP
Location Address5700 HILLANDALE DRLithonia, GA 30058-4103
Mailing Address1835 Savoy Dr Ste 203Atlanta, GA 30341-1073 · (770) 496-9430 · Fax (404) 891-4947
Phone(770) 981-5431
Fax(770) 981-5515
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 6, 2023
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1427821990 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 · RN272681
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.
5700 HILLANDALE DR, Lithonia, GA 30058
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Secondary Practice Location 1

Location 12701 N Decatur RdDecatur, GA 30033-5918 · Phone (678) 595-7882

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kofi-ann Mcdermott Np 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 ID9234587833
PECOS Enrollment IDI20231120003139
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kofi-ann Mcdermott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nsh Cancer Institute Professional Services G, LLC
18 mi
Hematology & Oncology
1100 JOHNSON FERRY RD NE, SUITE 600
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
NPI 1124379284 (404) 851-6378
Signify Health Medical Associates, PLLC
736 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
148 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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
$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.

Other Providers at the Same Location NPPES 8

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

THE SULTON PEDIATRIC GROUP, PC
Pediatrics
5700 HILLANDALE DR, SUITE 150
LITHONIA, GA 30058
Dekalb County (770) 670-6100
DR. CELIA C MAMBY MD
Internal Medicine (Hematology & Oncology)
5700 HILLANDALE DR, SUITE 250
LITHONIA, GA 30058
Dekalb County (770) 981-5431
EHI PHARMACY SOLUTIONS, LLC.
Non-Pharmacy Dispensing Site
5700 HILLANDALE DR, STE. 290
LITHONIA, GA 30058
Dekalb County (404) 288-4117
DR. ANISSA SHARIFI M.D.
Pediatrics
5700 HILLANDALE DR, SUITE 150
LITHONIA, GA 30058
Dekalb County (770) 670-6100
AIDS HEALTHCARE FOUNDATION
Internal Medicine
5700 HILLANDALE DR, SUITE 100
LITHONIA, GA 30058
Dekalb County (323) 436-5019
WOUND CARE & HYPERBARIC CENTER
Emergency Medicine (Undersea and Hyperbaric Medicine)
5700 HILLANDALE DR, BLDG 2 SUITE 2
LITHONIA, GA 30058
Dekalb County (678) 613-3212
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC
Durable Medical Equipment & Medical Supplies
5700 HILLANDALE DR, BLDG. 200
LITHONIA, GA 30058
Dekalb County (770) 981-5431
LITHONIA WOUNDCARE CENTER
Emergency Medicine (Undersea and Hyperbaric Medicine)
5700 HILLANDALE DR, STE 210
LITHONIA, GA 30058
Dekalb County (770) 593-9450

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 Kofi-ann Mcdermott's NPI number?

The NPI number for Kofi-ann Mcdermott is 1427821990. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Kofi-ann Mcdermott located?

Kofi-ann Mcdermott practices at 5700 Hillandale Dr, Lithonia, GA 30058. The listed phone number is (770) 981-5431.

What is Kofi-ann Mcdermott's specialty?

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

Is Kofi-ann Mcdermott enrolled in Medicare?

Yes. Kofi-ann Mcdermott 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.

Which organizations bill Medicare for Kofi-ann Mcdermott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kofi-ann Mcdermott reassigns Medicare benefits to 2 organizations: Nsh Cancer Institute Professional Services G, LLC (Atlanta, GA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Kofi-ann Mcdermott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kofi-ann Mcdermott accept?

Health plans from CareSource (Common Ground Healthcare) list Kofi-ann Mcdermott 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.

When was this NPI record last updated?

The NPPES record for Kofi-ann Mcdermott was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.