KRISTIN ALEXIS HALLIGAN (MD) – Emergency Medicine Physician, NPI 1417167362

KRISTIN ALEXIS HALLIGAN (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 059181 (GA). The NPI Number for KRISTIN ALEXIS HALLIGAN (MD) is 1417167362

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN ALEXIS HALLIGAN (MD)
NPI
1417167362
Phone
(770) 874-5468
Address
5665 NEW NORTHSIDE DR NW
Enumeration Date
22 May 2007
Last Update Date
26 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
7705033000
Graduation Year
2004 (22 years ago)
PAC ID
2062504509
Group Practice PAC ID
5597751032
Professional Enrollment ID
I20070828000903
Address ID
GA305013715GA743XXNEST300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

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Provider Addresses for KRISTIN ALEXIS HALLIGAN (MD)

  • 5665, New Northside Drive Northwest, Atlanta, Georgia, 30328, United States

    SUITE 320

    ATLANTA, GA 303285831

    Phone: (770) 874-5468

    Fax: (770) 874-5469

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-08-28

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
I20070828000903IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making355341$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only229224$0
99291Critical care, first 30-74 minutes9090$0
99284Emergency department visit with moderate level of medical decision making4747$0
View full utilization report →

Insurance plans in this area (ZIP 30328)

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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: 5597751032View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KRISTIN ALEXIS HALLIGAN (MD)?
Save NPI 1417167362 if you need a stable reference for KRISTIN ALEXIS HALLIGAN (MD).
Is KRISTIN ALEXIS HALLIGAN (MD) active in the national directory?
KRISTIN ALEXIS HALLIGAN (MD)'s public NPI profile is in an active state.
What kind of provider is KRISTIN ALEXIS HALLIGAN (MD)?
The page reflects Emergency Medicine Physician for KRISTIN ALEXIS HALLIGAN (MD). Clinical services aligned with this taxonomy classification.
Where is KRISTIN ALEXIS HALLIGAN (MD)'s primary listing?
We display Atlanta, Georgia because that is what the record indicates for KRISTIN ALEXIS HALLIGAN (MD).
Is KRISTIN ALEXIS HALLIGAN (MD) a real provider?
This page reflects official NPPES data for NPI 1417167362. Always confirm identity and privileges with the practice and licensing boards.

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