KATIA FAYOLA OUTLAW
NPI 1720495021
Nurse Practitioner - Family in Atlanta, GA

Active since July 18, 2014PECOS Enrolled
550 PEACHTREE ST NE STE 1600, ATLANTA, GA 30308(404) 298-8998 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2020, May 10, 2016, Feb 4, 2016 (3 updates tracked since 2016).

About Katia Fayola Outlaw NPPES

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

KATIA FAYOLA OUTLAW (NPI 1720495021) is an individual family provider in Atlanta, Georgia, licensed in North Carolina (281863) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720495021
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATIA FAYOLA OUTLAW
Location Address550 PEACHTREE ST NE STE 1600Atlanta, GA 30308-2246
Mailing Address5582 Memorial DrStone Mountain, GA 30083-3215 · (404) 307-4445
Sole ProprietorYes
Enumeration DateJuly 18, 2014
Last NPPES UpdateMarch 6, 20203 updates tracked since enumeration
NPPES CertifiedMarch 6, 2020
NPI 1720495021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NC · 281863 Licensed in MI · 4704254995
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704254995 (MI)
550 PEACHTREE ST NE STE 1600, Atlanta, GA 30308

Other Identifiers 2

MedicaidNP3723SC
Medicaid1720495021NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katia Fayola Outlaw 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 30308 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 6

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

Physician Assistant (Medical)
550 PEACHTREE ST NE STE 1600
ATLANTA, GA 30308
Physician Assistant (Medical)
550 PEACHTREE ST NE STE 1600
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE STE 1600
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE STE 1600
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE STE 1600
ATLANTA, GA 30308
Internal Medicine (Gastroenterology)
550 PEACHTREE ST NE STE 1600
ATLANTA, GA 30308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720495021, enumerated as an "individual" on July 18, 2014.

The provider is located at 550 PEACHTREE ST NE STE 1600 ATLANTA, GA 30308 and the phone number is (404) 298-8998.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.