Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KOMALPREET KAUR PA-C
NPI 1992654651
Physician Assistant in Fayetteville, GA

Active since January 26, 2026PECOS Enrolled
1336 HWY 54W, BLDG. 100, SUITE 100, FAYETTEVILLE, GA 30214(678) 610-3395(678) 610-3462 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Jan 26, 2026 (2 updates tracked since 2026).

About Komalpreet Kaur Pa-c NPPES

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

KOMALPREET KAUR PA-C (NPI 1992654651) is an individual physician assistant in Fayetteville, Georgia, licensed in Georgia (13862) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992654651
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKOMALPREET KAURCredential: PA-C
Location Address1336 HWY 54W, BLDG. 100, SUITE 100Fayetteville, GA 30214
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Fax(678) 610-3462
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 26, 2026
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1992654651 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 · 13862
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.
1336 HWY 54W, Fayetteville, GA 30214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Komalpreet Kaur Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173092921
PECOS Enrollment IDI20260521000430
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 30214 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 2

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

Physician Assistant
1336 HWY 54W, BLDG. 100, SUITE 100
FAYETTEVILLE, GA 30214
Clinic/Center (Ambulatory Surgical)
1336 HWY 54W, BLDG 100, SUITE 101
FAYETTEVILLE, GA 30214

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 Komalpreet Kaur's NPI number?

The NPI number for Komalpreet Kaur is 1992654651. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Komalpreet Kaur located?

Komalpreet Kaur practices at 1336 Hwy 54W Bldg. 100, Suite 100, Fayetteville, GA 30214. The listed phone number is (678) 610-3395.

What is Komalpreet Kaur's specialty?

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

Is Komalpreet Kaur enrolled in Medicare?

Yes. Komalpreet Kaur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Komalpreet Kaur was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.