DR. CANDANCE KIMBROUGH-GREEN (M.D.) – Dermatology Physician, NPI 1366428146
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
Provider Addresses for DR. CANDANCE KIMBROUGH-GREEN (M.D.)
2045 Peachtree Rd NE Ste 200
Atlanta, GA 30309
Phone: (404) 351-7546
Fax: (404) 351-2993
Type: Location
4800 OLDE TOWNE PKWY STE 250
MARIETTA, GA 300684428
Phone: (770) 971-3376
Fax: (770) 578-8567
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 158 Open Payments records for all available years, with a total value of $3,406.
Total Amount is formed as General ($3,406) + Research ($0) + Ownership ($0) = $3,406.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($993).
Total Amount
$3,406
General + Research + Ownership
Payments
158
Total payment records
General Amount
$3,406
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $993 |
| Amgen Inc. | $469 |
| E.R. Squibb & Sons, L.L.C. | $448 |
| Dermavant Sciences, Inc. | $348 |
| Novartis Pharmaceuticals Corporation | $232 |
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: 2010-05-17
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 |
|---|---|---|---|---|
| I20100517000556 | I | Dermatology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,362 | 212 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 446 | 338 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 407 | 282 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 271 | 211 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 163 | 145 | $0 |
Insurance plans in this area (ZIP 30309)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | GA | 11101 | Biopsy of each additional growth of skin and/or tissue | 193 | 121 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | AL |
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