KATHLEEN ANN KEIRN (PA-C) – Medical Physician Assistant, NPI 1629632807

KATHLEEN ANN KEIRN (PA-C) is a healthcare provider. based in Peachtree city, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KATHLEEN ANN KEIRN (PA-C) is 1629632807

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN ANN KEIRN (PA-C)
NPI
1629632807
Phone
(804) 441-4802
Address
115 TERRANE RDG
Enumeration Date
23 April 2019
Last Update Date
24 May 2022

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2019 (7 years ago)
PAC ID
5799011680
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20190731000029
Address ID
GA301527742KE5150XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for KATHLEEN ANN KEIRN (PA-C)

  • 115 TERRANE RDG

    PEACHTREE CITY, GA 302694027

    Phone: (804) 441-4802

    Type: Mailing

  • Piedmont Newnan Hospital, 745, Poplar Road, Newnan, Coweta County, Georgia, 30265, United States

    NEWNAN, GA 302651618

    Phone: (404) 367-3014

    Type: Location

  • 745 Poplar Rd

    Newnan, GA 302651618

    Phone: (404) 367-3014

    Type: Location

  • 1820 BRAGG ST

    ATLANTA, GA 303414812

    Phone: (804) 441-4802

    Type: Mailing

  • 3950 AUSTELL RD

    AUSTELL, GA 301061121

    Phone: (770) 732-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($145).

Total Amount

$396

General + Research + Ownership

Payments

3

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2019-07-31

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
I20190731000029IPhysician 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3817$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2816$0
99239Hospital discharge day management, more than 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 30269)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHLEEN ANN KEIRN (PA-C)?
KATHLEEN ANN KEIRN (PA-C) — NPI 1629632807 — is the standard way to identify this listing.
Is KATHLEEN ANN KEIRN (PA-C) listed as active for patients and plans?
The listing shows KATHLEEN ANN KEIRN (PA-C) as active in the NPI system.
What is KATHLEEN ANN KEIRN (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for KATHLEEN ANN KEIRN (PA-C) here. Clinical services aligned with this taxonomy classification.
Does KATHLEEN ANN KEIRN (PA-C) list a practice location?
Patients near Peachtree City, Georgia may find KATHLEEN ANN KEIRN (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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