KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE) – Emergency Medicine Physician, NPI 1508641341

KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials STUDENT/HEALTHCARE. They hold a License No. 13042 (GA). The NPI Number for KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE) is 1508641341

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE)
NPI
1508641341
Phone
(404) 727-7825
Address
1462 Clifton Rd NE Ste 280
Enumeration Date
29 August 2023
Last Update Date
6 June 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6783448700
Graduation Year
2024 (2 years ago)
PAC ID
6709390537
Group Practice PAC ID
6507779329
Professional Enrollment ID
I20250703003718
Address ID
GA300445896LA2878XRDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE)

  • 1462 Clifton Rd NE Ste 280

    Atlanta, GA 303221063

    Phone: (404) 727-7825

    Type: Location

  • 1462 CLIFTON RD NE STE 280

    ATLANTA, GA 303221063

    Phone: (404) 727-7825

    Type: Mailing

  • 2701 N DECATUR RD

    DECATUR, GA 300335918

    Phone: (404) 501-1000

    Type: Location

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: 2025-07-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250703003718IPhysician 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 30322)

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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: 6507779329View full group profile
NameSpecialtyState
Internal MedicineGA
-GA
Physician AssistantNY
Physician AssistantCO
Internal MedicineGA
Family Practice, Emergency MedicineGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantGA

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Frequently asked questions

What NPI should I save for KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE)?
Save NPI 1508641341 if you need a stable reference for KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE).
Is KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE)?
The page reflects Emergency Medicine Physician for KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE). Clinical services aligned with this taxonomy classification.
Does KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE) practice in Georgia?
You will see Atlanta, Georgia on file for KATHLEEN MARIE KNIGHT (STUDENT/HEALTHCARE) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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