AGNES NAMBIRO-KASOLO (M.D.) – Internal Medicine Physician, NPI 1053678664

AGNES NAMBIRO-KASOLO (M.D.) is a healthcare provider. based in Carrollton, Georgia. specializing in HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 073901 (GA). The NPI Number for AGNES NAMBIRO-KASOLO (M.D.) is 1053678664

Main info

Female
14 Years Of Experience
Name
AGNES NAMBIRO-KASOLO (M.D.)
NPI
1053678664
Phone
(770) 838-8824
Address
705 DIXIE ST
Enumeration Date
19 April 2012
Last Update Date
27 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065711000
Graduation Year
2012 (14 years ago)
PAC ID
7618288481
Group Practice PAC ID
8921368564
Professional Enrollment ID
I20150619001314
Address ID
GA319011527CO710XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,281 HOSPITALIST in GA

Provider Addresses for AGNES NAMBIRO-KASOLO (M.D.)

  • 705 DIXIE ST

    CARROLLTON, GA 301173818

    Phone: (770) 838-8824

    Fax: (770) 838-8922

    Type: Location

  • 119 AMBULANCE DR

    SUITE 202

    CARROLLTON, GA 301173857

    Phone: (770) 838-8710

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($54).

Total Amount

$78

General + Research + Ownership

Payments

3

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

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: 2015-06-19

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
I20150619001314IHospitalistGATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes447160$0
99239Hospital discharge day management, more than 30 minutes138131$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7070$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6535$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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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: 8921368564View full group profile
NameSpecialtyState
Internal MedicineGA
Internal MedicineMI
Family PracticeGA
-GA
Family PracticeGA
H O S P I T A L I S TNY
Internal MedicineSC
Hospitalist, Internal MedicineGA
Internal MedicineSC
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the registry number for AGNES NAMBIRO-KASOLO (M.D.)?
The registry entry for AGNES NAMBIRO-KASOLO (M.D.) shows NPI 1053678664.
Should I treat AGNES NAMBIRO-KASOLO (M.D.) as an active provider?
Patients and plans typically see AGNES NAMBIRO-KASOLO (M.D.) as active in the national extract.
How should patients interpret AGNES NAMBIRO-KASOLO (M.D.)'s specialty?
The extract shows Internal Medicine Physician for AGNES NAMBIRO-KASOLO (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to AGNES NAMBIRO-KASOLO (M.D.)?
AGNES NAMBIRO-KASOLO (M.D.) is associated with Carrollton, Georgia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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