MR. ROBERT ANDREW KILLOUGH (P.A.-C) – Physician Assistant, NPI 1346396462
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for MR. ROBERT ANDREW KILLOUGH (P.A.-C)
3720 DAVINCI CT
NORCROSS, GA 300927627
Phone: (404) 290-7437
Type: Location
275, 13th Street Northeast, Atlanta, Fulton County, Georgia, 30309, United States
APT 608
ATLANTA, GA 303093694
Phone: (404) 290-7437
Type: Mailing
4424 HUGH HOWELL RD STE D
TUCKER, GA 300844905
Phone: (404) 692-4466
Fax: (415) 252-7176
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Teleflex LLC ($107).
Total Amount
$107
General + Research + Ownership
Payments
2
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $107 |
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: 2003-11-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031103000162 | I | Physician Assistant | GA | TBD |
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.
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 30092)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Mental Health Counselor | GA | |
| Nurse Practitioner | GA | |
| Family Practice | IL | |
| Nurse Practitioner | SC | |
| Internal Medicine, Geriatric Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | CA |
Reviews
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