KENT R. NILSSON (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1619965381

KENT R. NILSSON (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in CARDIAC ELECTROPHYSIOLOGY, INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 2005-00874 (NC). The NPI Number for KENT R. NILSSON (M.D.) is 1619965381

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
KENT R. NILSSON (M.D.)
NPI
1619965381
Phone
(706) 369-5440
Address
PO BOX 161435
Enumeration Date
7 October 2005
Last Update Date
17 September 2015

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7064751700
Graduation Year
2002 (24 years ago)
PAC ID
6507884822
Group Practice PAC ID
8820349772
Professional Enrollment ID
I20121112000070
Address ID
GA306062966AT242XXAVEX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

105 CARDIAC ELECTROPHYSIOLOGY in GA

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Provider Addresses for KENT R. NILSSON (M.D.)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303211435

    Phone: (706) 369-5440

    Fax: (706) 369-5490

    Type: Mailing

  • Athens Regional Medical Center, 1199, Prince Avenue, Normaltown, Athens, Athens-Clarke County, Georgia, 30606, United States

    MSB 2ND FLOOR

    ATHENS, GA 306062797

    Phone: (706) 475-1700

    Fax: (706) 475-1790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 179 Open Payments records for all available years, with a total value of $61,558.

Total Amount is formed as General ($61,558) + Research ($0) + Ownership ($0) = $61,558.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($35,115).

Total Amount

$61,558

General + Research + Ownership

Payments

179

Total payment records

General Amount

$61,558

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-11-12

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
I20121112000070ICardiac ElectrophysiologyGATBD

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
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days1,116346$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days848266$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only285246$0
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days25986$0
93280Programming of dual lead pacemaker system185165$0
View full utilization report →

Insurance plans in this area (ZIP 30321)

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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: 8820349772View full group profile
NameSpecialtyState
N E U R O S U R G E R YGA
Physician AssistantFL
-GA
Nurse PractitionerGA
-GA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

Can I verify KENT R. NILSSON (M.D.) with an NPI only?
You can start verification with NPI 1619965381 for KENT R. NILSSON (M.D.), then check state licensing separately.
Can I rely on KENT R. NILSSON (M.D.) being an active provider?
As of the registry snapshot, KENT R. NILSSON (M.D.) is marked active.
What is KENT R. NILSSON (M.D.)'s primary classification?
Clinical Cardiac Electrophysiology Physician is the headline specialty for KENT R. NILSSON (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does KENT R. NILSSON (M.D.) serve?
KENT R. NILSSON (M.D.)'s listing highlights Atlanta, Georgia; more addresses can appear in NPPES.
Why does KENT R. NILSSON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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