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KISA MEREDITH PA-C, MHS
NPI 1750165775
Physician Assistant in Atlanta, GA

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment
960 JOHNSON FY RD NE STE 335, ATLANTA, GA 30342(404) 497-8700 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Jun 30, 2024, Aug 21, 2023 (3 updates tracked since 2023).

About Kisa Meredith Pa-c, Mhs NPPES

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

KISA MEREDITH PA-C, MHS (NPI 1750165775) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (11890) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Duke University School Of Medicine (2023).

NPPES Registry Identity

NPI1750165775
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKISA MEREDITHCredential: PA-C, MHS
Location Address960 JOHNSON FY RD NE STE 335Atlanta, GA 30342-1625
Mailing Address960 Johnson Fy Rd Ne Ste 335Atlanta, GA 30342-1625 · (404) 497-8700
Phone(404) 497-8700
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2023
Enumeration DateAugust 21, 2023
Last NPPES UpdateJuly 22, 20243 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1750165775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 11890
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 11890 (GA)
960 JOHNSON FY RD NE STE 335, Atlanta, GA 30342
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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

Kisa Meredith Pa-c, Mhs 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 ID2961859988
PECOS Enrollment IDI20231114000648
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 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 4

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

AUDREY CHASTEEN PA
Physician Assistant
960 JOHNSON FY RD NE STE 335
ATLANTA, GA 30342
Fulton County (404) 497-8700
ADDIE LAFOREST BROOKS MSHA, RDN, CSO, LD
Dietitian, Registered (Nutrition, Oncology)
960 JOHNSON FY RD NE STE 335
ATLANTA, GA 30342
Fulton County (404) 497-8700
MS. ASHLEIGH MICHAEL LEWIS PA
Physician Assistant
960 JOHNSON FY RD NE STE 335
ATLANTA, GA 30342
Fulton County (404) 497-8700
DANIELLE KAUFMAN
Speech-Language Pathologist
960 JOHNSON FY RD NE STE 335
ATLANTA, GA 30342
Fulton County (404) 497-8700

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 Kisa Meredith's NPI number?

The NPI number for Kisa Meredith is 1750165775. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Kisa Meredith located?

Kisa Meredith practices at 960 Johnson Fy Rd NE Ste 335, Atlanta, GA 30342. The listed phone number is (404) 497-8700.

What is Kisa Meredith's specialty?

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

Is Kisa Meredith enrolled in Medicare?

Yes. Kisa Meredith 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.

Is Kisa Meredith affiliated with any hospitals?

According to CMS data, Kisa Meredith is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Kisa Meredith was last updated on July 22, 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.