KATHRYN GRACE ENTREKIN – Psychiatric/Mental Health Nurse Practitioner, NPI 1093346470

KATHRYN GRACE ENTREKIN is a healthcare provider. based in Carrollton, Georgia. specializing in PSYCHIATRY. They hold a License No. RN197971 (GA). The NPI Number for KATHRYN GRACE ENTREKIN is 1093346470

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN GRACE ENTREKIN
NPI
1093346470
Phone
Not provided
Address
114 KYLE WAY
Enumeration Date
4 February 2020
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709438701
Graduation Year
2021 (5 years ago)
PAC ID
3870985666
Group Practice PAC ID
0648334441
Professional Enrollment ID
I20220128001628
Address ID
GA301272696PO4171XSTXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

Provider Addresses for KATHRYN GRACE ENTREKIN

  • 114 KYLE WAY

    CARROLLTON, GA 301174823

    Phone:

    Type: Mailing

  • 690 COURTENAY DR NE

    ATLANTA, GA 303063421

    Phone: (404) 875-4551

    Type: Location

  • 112 CORPORATE DR

    CARROLLTON, GA 301172464

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,341.

Total Amount is formed as General ($1,341) + Research ($0) + Ownership ($0) = $1,341.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($388).

Total Amount

$1,341

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2022-01-28

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
I20220128001628IPsychiatryGATBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes10923$0
99214Established patient office or other outpatient visit, 30-39 minutes8218$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: 0648334441View full group profile
NameSpecialtyState
-GA
P S Y C H I A T R YGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do I look up KATHRYN GRACE ENTREKIN by NPI?
Use NPI 1093346470 when you need to reference KATHRYN GRACE ENTREKIN in forms, claims, or directories.
Is KATHRYN GRACE ENTREKIN active in the national directory?
KATHRYN GRACE ENTREKIN's public NPI profile is in an active state.
What kind of provider is KATHRYN GRACE ENTREKIN?
The page reflects Psychiatric/Mental Health Nurse Practitioner for KATHRYN GRACE ENTREKIN. Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHRYN GRACE ENTREKIN?
The page summarizes Carrollton, Georgia for KATHRYN GRACE ENTREKIN; expand the address list for detail.
How can I contact KATHRYN GRACE ENTREKIN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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