MS. KYNDALL DENISE GROGAN (PA) – Surgical Physician Assistant, NPI 1013784602

MS. KYNDALL DENISE GROGAN (PA) is a healthcare provider. based in Fortson, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 12137 (GA). The NPI Number for MS. KYNDALL DENISE GROGAN (PA) is 1013784602

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MS. KYNDALL DENISE GROGAN (PA)
NPI
1013784602
Phone
(706) 570-0220
Address
PO BOX 370
Enumeration Date
5 December 2023
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063202773
Graduation Year
2023 (3 years ago)
PAC ID
0749625093
Group Practice PAC ID
8729381033
Professional Enrollment ID
I20240227002070
Address ID
GA319046878CO2122XEXPY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MS. KYNDALL DENISE GROGAN (PA)

  • PO BOX 370

    FORTSON, GA 318080370

    Phone: (706) 570-0220

    Type: Mailing

  • 1900 10TH AVE STE 211

    COLUMBUS, GA 319013604

    Phone: (706) 507-0220

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $219.

Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: GENZYME CORPORATION ($115).

Total Amount

$219

General + Research + Ownership

Payments

6

Total payment records

General Amount

$219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2024-02-27

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
I20240227002070IPhysician 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 31808)

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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: 8729381033View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
-WI
Diagnostic RadiologyNY
N E U R O L O G YGA
-GA
P S Y C H I A T R YGA
Physician AssistantGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Cardiovascular Disease (Cardiology), Internal MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify MS. KYNDALL DENISE GROGAN (PA) for billing?
Administrative and clinical systems typically use NPI 1013784602 for MS. KYNDALL DENISE GROGAN (PA).
Is MS. KYNDALL DENISE GROGAN (PA)'s NPI status active today?
Active status means MS. KYNDALL DENISE GROGAN (PA)'s NPI record is not deactivated in the public file.
What does the directory say MS. KYNDALL DENISE GROGAN (PA) does?
Insurance directories may phrase it differently, but here MS. KYNDALL DENISE GROGAN (PA) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. KYNDALL DENISE GROGAN (PA)?
MS. KYNDALL DENISE GROGAN (PA) is associated with Fortson, Georgia in the same public data insurers reference.
Can I export MS. KYNDALL DENISE GROGAN (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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