KENNETH EUGENE LYDA (FNP) – Family Nurse Practitioner, NPI 1043215999

KENNETH EUGENE LYDA (FNP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 124797 (GA). The NPI Number for KENNETH EUGENE LYDA (FNP) is 1043215999

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH EUGENE LYDA (FNP)
NPI
1043215999
Phone
(404) 605-2800
Address
275 COLLIER RD NW
Enumeration Date
16 June 2005
Last Update Date
16 May 2011

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
7709183000
Graduation Year
2001 (25 years ago)
PAC ID
9436211356
Group Practice PAC ID
0345321691
Professional Enrollment ID
I20081230000469
Address ID
GA300123877CO1412XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for KENNETH EUGENE LYDA (FNP)

  • 275, Collier Road Northwest, A, Atlanta, Georgia, 30309, United States

    STE 500

    ATLANTA, GA 303091709

    Phone: (404) 605-2800

    Fax: (404) 351-5983

    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 122 Open Payments records for all available years, with a total value of $3,975.

Total Amount is formed as General ($3,975) + Research ($0) + Ownership ($0) = $3,975.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ATRICURE, INC. ($1,758).

Total Amount

$3,975

General + Research + Ownership

Payments

122

Total payment records

General Amount

$3,975

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2008-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (889 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20081230000469INurse PractitionerGA2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 minutes378296$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
92960External shock to heart to regulate heart beat3129$0
99214Established patient office or other outpatient visit, 30-39 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 30309)

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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: 0345321691View full group profile
NameSpecialtyState
Nurse PractitionerTN
-GA
-GA
-GA
Nurse PractitionerGA
Internal MedicineOH
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
-GA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What number should I use to identify KENNETH EUGENE LYDA (FNP) for billing?
Administrative and clinical systems typically use NPI 1043215999 for KENNETH EUGENE LYDA (FNP).
Does the public listing show KENNETH EUGENE LYDA (FNP) as active?
KENNETH EUGENE LYDA (FNP)'s NPI record reflects an active status in NPPES.
What services align with KENNETH EUGENE LYDA (FNP)'s listing?
KENNETH EUGENE LYDA (FNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KENNETH EUGENE LYDA (FNP) tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, KENNETH EUGENE LYDA (FNP) may be relevant to your search.
Can I export KENNETH EUGENE LYDA (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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