MRS. KIERSTON DOROTHY HOLIFIELD (P.A.) – Physician Assistant, NPI 1598916272
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
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Provider Addresses for MRS. KIERSTON DOROTHY HOLIFIELD (P.A.)
Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States
BI W2144
AUGUSTA, GA 309120004
Phone: (706) 721-0211
Type: Location
1044 EMERALD PL
EVANS, GA 308095143
Phone: (706) 627-5904
Type: Mailing
4150 WASHINGTON RD STE 6
EVANS, GA 308094722
Phone: (706) 814-6104
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 93 Open Payments records for all available years, with a total value of $2,285.
Total Amount is formed as General ($2,285) + Research ($0) + Ownership ($0) = $2,285.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($443).
Total Amount
$2,285
General + Research + Ownership
Payments
93
Total payment records
General Amount
$2,285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $443 |
| ABBVIE INC. | $259 |
| Janssen Biotech, Inc. | $210 |
| PFIZER INC. | $183 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $174 |
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: 2025-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20081219000520 | I | Physician Assistant | GA | TBD |
| I20250311000006 | I | Physician Assistant | SC | 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 30912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA |
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