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NICOLE KILLIAN
NPI 1679985691
Nurse Practitioner - Pediatrics in Dacula, GA

Active since May 25, 2014PECOS Enrolled
3619 BRASELTON HWY STE 103, DACULA, GA 30019(770) 513-8882 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Killian NPPES

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

NICOLE KILLIAN (NPI 1679985691) is an individual pediatrics provider in Dacula, Georgia, licensed in Georgia (RN207183) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679985691
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNICOLE KILLIAN
Location Address3619 BRASELTON HWY STE 103Dacula, GA 30019-4668
Mailing Address801 Mill Brook LnHoschton, GA 30548-3726 · (770) 883-2653
Phone(770) 513-8882
Sole ProprietorYes
Enumeration DateMay 25, 2014
Last NPPES UpdateNovember 26, 2014
✔ NPI 1679985691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN207183
3619 BRASELTON HWY STE 103, Dacula, GA 30019
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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 (PECOS)

Nicole Killian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30019 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 3

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

KIRAN SINGH MD
Pediatrics
3619 BRASELTON HWY STE 103
DACULA, GA 30019
Gwinnett County (770) 513-8882
SAMANTHA BALL DO
Pediatrics
3619 BRASELTON HWY STE 103
DACULA, GA 30019
Gwinnett County (770) 513-8882
SAMANTHA BALL DO LLC
Pediatrics
3619 BRASELTON HWY STE 103
DACULA, GA 30019
Gwinnett County (770) 513-8882

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 Nicole Killian's NPI number?

The NPI number for Nicole Killian is 1679985691. It was assigned to this individual provider in the NPPES registry on May 25, 2014.

Where is Nicole Killian located?

Nicole Killian practices at 3619 Braselton Hwy Ste 103, Dacula, GA 30019. The listed phone number is (770) 513-8882.

What is Nicole Killian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nicole Killian enrolled in Medicare?

Yes. Nicole Killian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Killian was last updated on November 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.