KELLI KNOX RIDDLE (PA) – Physician Assistant, NPI 1801938394

KELLI KNOX RIDDLE (PA) is a healthcare provider. based in Auburn, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA440 (AL). The NPI Number for KELLI KNOX RIDDLE (PA) is 1801938394

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLI KNOX RIDDLE (PA)
NPI
1801938394
Phone
(334) 821-9308
Address
1543 PROFESSIONAL PKWY
Enumeration Date
13 February 2007
Last Update Date
8 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342773332
Graduation Year
2005 (21 years ago)
PAC ID
3678591526
Group Practice PAC ID
9234179128
Professional Enrollment ID
I20051109000326
Address ID
AL361177047MO7260XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

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Provider Addresses for KELLI KNOX RIDDLE (PA)

  • 1543, Professional Parkway, Village Hills, Auburn, Lee County, Alabama, 36830, United States

    AUBURN, AL 368302858

    Phone: (334) 821-9308

    Fax: (850) 522-8354

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 201 Open Payments records for all available years, with a total value of $4,323.

Total Amount is formed as General ($4,323) + Research ($0) + Ownership ($0) = $4,323.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,107).

Total Amount

$4,323

General + Research + Ownership

Payments

201

Total payment records

General Amount

$4,323

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051109000326IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes733529$0
17003Destruction of precancer skin growth, 2-14 growths475179$0
17000Destruction of precancer skin growth, 1 growth363289$0
11102Biopsy of related skin growth, first growth225215$0
17110Destruction of skin growth, 1-14 growths175154$0
View full utilization report →

Insurance plans in this area (ZIP 36830)

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Provider's Procedures

KELLI KNOX RIDDLE (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTAL11101Biopsy of each additional growth of skin and/or tissue5538
PHYSICIAN ASSISTANTAL17003Destruction of 2-14 skin growths117100

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234179128View full group profile
NameSpecialtyState
Dermatology, Internal MedicineAL

Reviews

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Frequently asked questions

What unique ID ties claims to KELLI KNOX RIDDLE (PA)?
NPI 1801938394 is assigned to KELLI KNOX RIDDLE (PA) under the national enumeration system.
Is KELLI KNOX RIDDLE (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KELLI KNOX RIDDLE (PA) work in?
You can think of KELLI KNOX RIDDLE (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place KELLI KNOX RIDDLE (PA)?
The snapshot lists Auburn, Alabama for KELLI KNOX RIDDLE (PA); download NPPES for the complete set.
What if Auburn, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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