MS. KILEY JORDAN PARRISH – Physician Assistant, NPI 1235885666

MS. KILEY JORDAN PARRISH is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold a License No. 11043 (GA). The NPI Number for MS. KILEY JORDAN PARRISH is 1235885666

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. KILEY JORDAN PARRISH
NPI
1235885666
Phone
(631) 965-0061
Address
1019 GREENWOOD AVE NE APT 6
Enumeration Date
24 February 2022
Last Update Date
20 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043214600
Graduation Year
2022 (4 years ago)
PAC ID
9739556283
Group Practice PAC ID
3678547569
Professional Enrollment ID
I20221114000402
Address ID
GA300333415DE1951XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MS. KILEY JORDAN PARRISH

  • 1019 GREENWOOD AVE NE APT 6

    ATLANTA, GA 303063841

    Phone: (631) 965-0061

    Type: Mailing

  • 201 MICHAEL ETCHISON RD

    MONROE, GA 306555996

    Phone: (770) 476-7656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $2,111.

Total Amount is formed as General ($2,111) + Research ($0) + Ownership ($0) = $2,111.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($420).

Total Amount

$2,111

General + Research + Ownership

Payments

93

Total payment records

General Amount

$2,111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2022-11-14

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
I20221114000402IPhysician 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 30306)

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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: 3678547569View full group profile
NameSpecialtyState
Physician AssistantGA
-GA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YIL
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is MS. KILEY JORDAN PARRISH's NPI number?
MS. KILEY JORDAN PARRISH's NPI is 1235885666 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MS. KILEY JORDAN PARRISH?
For scheduling context, MS. KILEY JORDAN PARRISH is shown as active in the registry.
What area of care is associated with MS. KILEY JORDAN PARRISH?
MS. KILEY JORDAN PARRISH's record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. KILEY JORDAN PARRISH?
Travel planning: use Atlanta, Georgia as the reference point for MS. KILEY JORDAN PARRISH, then confirm.
Does MS. KILEY JORDAN PARRISH accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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