KARLY MARIE KINCAID MOSS (PA) – Physician Assistant, NPI 1366781213

KARLY MARIE KINCAID MOSS (PA) is a healthcare provider. based in Duluth, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 006687 (GA). The NPI Number for KARLY MARIE KINCAID MOSS (PA) is 1366781213

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KARLY MARIE KINCAID MOSS (PA)
NPI
1366781213
Phone
(770) 814-8222
Address
3850 PLEASANT HILL RD
Enumeration Date
12 February 2013
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Secondary Phone
70654358583207
Graduation Year
2012 (14 years ago)
PAC ID
9133366461
Group Practice PAC ID
0244328649
Professional Enrollment ID
I20130506000190
Address ID
GA306777211WA1180XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for KARLY MARIE KINCAID MOSS (PA)

  • 3850 PLEASANT HILL RD

    DULUTH, GA 300964807

    Phone: (770) 814-8222

    Fax: (678) 205-5111

    Type: Mailing

  • 1180 RESURGENCE DR

    STE 100

    WATKINSVILLE, GA 306777211

    Phone: (706) 543-5858

    Fax: (706) 543-2050

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $2,032.

Total Amount is formed as General ($2,032) + Research ($0) + Ownership ($0) = $2,032.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GENZYME CORPORATION ($492).

Total Amount

$2,032

General + Research + Ownership

Payments

90

Total payment records

General Amount

$2,032

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: 2013-05-06

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
I20130506000190IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths2,624453$0
99213Established patient office or other outpatient visit, 20-29 minutes858751$0
17000Destruction of precancer skin growth, 1 growth701592$0
17110Destruction of skin growth, 1-14 growths395349$0
11102Biopsy of related skin growth, first growth376347$0
View full utilization report →

Insurance plans in this area (ZIP 30096)

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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: 0244328649View full group profile
NameSpecialtyState
Nurse PractitionerGA
Micrographic Dermatologic Surgery (Mds), DermatologyAL
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
Physician AssistantTN
Micrographic Dermatologic Surgery (Mds), DermatologyGA
Physician AssistantGA
P A T H O L O G YFL

Reviews

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Frequently asked questions

What unique ID ties claims to KARLY MARIE KINCAID MOSS (PA)?
NPI 1366781213 is assigned to KARLY MARIE KINCAID MOSS (PA) under the national enumeration system.
Is KARLY MARIE KINCAID MOSS (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KARLY MARIE KINCAID MOSS (PA) treat or focus on?
Patients typically see KARLY MARIE KINCAID MOSS (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for KARLY MARIE KINCAID MOSS (PA)?
We surface Duluth, Georgia for KARLY MARIE KINCAID MOSS (PA) based on available NPPES addresses.
What if Duluth, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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