KRISTIN GREGORY (PA) – Physician Assistant, NPI 1003925967

KRISTIN GREGORY (PA) is a healthcare provider. based in Cumming, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9103077 (FL). The NPI Number for KRISTIN GREGORY (PA) is 1003925967

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN GREGORY (PA)
NPI
1003925967
Phone
(770) 781-5077
Address
1505 NORTHSIDE BLVD
Enumeration Date
30 August 2006
Last Update Date
22 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043555484
Graduation Year
2004 (22 years ago)
PAC ID
8224044474
Group Practice PAC ID
6800784281
Professional Enrollment ID
I20130906000545
Address ID
GA303261418AT3379XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for KRISTIN GREGORY (PA)

  • Northside Boulevard, Cumming, Forsyth County, Georgia, 30041, United States

    SUITE 1500

    CUMMING, GA 300417623

    Phone: (770) 781-5077

    Fax: (770) 781-3915

    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 199 Open Payments records for all available years, with a total value of $4,447.

Total Amount is formed as General ($4,447) + Research ($0) + Ownership ($0) = $4,447.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,042).

Total Amount

$4,447

General + Research + Ownership

Payments

199

Total payment records

General Amount

$4,447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-09-06

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
I20130906000545IPhysician AssistantGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30041)

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Provider's Procedures

KRISTIN GREGORY (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA11101Biopsy of each additional growth of skin and/or tissue6553
PHYSICIAN ASSISTANTGA17003Destruction of 2-14 skin growths596132

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: 6800784281View full group profile
NameSpecialtyState
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YNY
Dermatology, Micrographic Dermatologic Surgery (Mds)GA
D E R M A T O L O G YMN
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
Dermatology, Micrographic Dermatologic Surgery (Mds), DermatologyIL

Reviews

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Frequently asked questions

Can I use this page to confirm KRISTIN GREGORY (PA)'s NPI?
Yes. KRISTIN GREGORY (PA) is listed with NPI 1003925967 in the public NPI dataset.
Does the file indicate KRISTIN GREGORY (PA) is practicing under active NPI?
Directory data currently reports KRISTIN GREGORY (PA) as active.
What taxonomy line describes KRISTIN GREGORY (PA)?
For research purposes, treat KRISTIN GREGORY (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does KRISTIN GREGORY (PA) list a practice location?
Patients near Cumming, Georgia may find KRISTIN GREGORY (PA) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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