NATALYA KOVALENKO (PA) – Medical Physician Assistant, NPI 1639422983

NATALYA KOVALENKO (PA) is a healthcare provider. based in Jonesboro, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 06508 (GA). The NPI Number for NATALYA KOVALENKO (PA) is 1639422983

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
NATALYA KOVALENKO (PA)
NPI
1639422983
Phone
(770) 968-5611
Address
6568B Tara Blvd
Enumeration Date
24 October 2012
Last Update Date
25 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
3971883760
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20161214000483
Address ID
GA305175600BR1404XPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for NATALYA KOVALENKO (PA)

  • 6568B Tara Blvd

    Jonesboro, GA 302361228

    Phone: (770) 968-5611

    Type: Location

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Fax: (770) 219-8440

    Type: Mailing

  • 1315 JESSE JEWELL PKWY NE STE 300

    GAINESVILLE, GA 305013822

    Phone: (770) 219-6520

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $237.

Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Boston Scientific Corporation ($141).

Total Amount

$237

General + Research + Ownership

Payments

5

Total payment records

General Amount

$237

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2016-12-14

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
I20161214000483IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes394217$0
99213Established patient office or other outpatient visit, 20-29 minutes10991$0
99215Established patient office or other outpatient visit, 40-54 minutes7761$0
72110X-ray of lower and sacral spine, minimum of 4 views3636$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 30236)

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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: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

Can I verify NATALYA KOVALENKO (PA) with an NPI only?
You can start verification with NPI 1639422983 for NATALYA KOVALENKO (PA), then check state licensing separately.
Is NATALYA KOVALENKO (PA) still practicing?
NATALYA KOVALENKO (PA) is currently listed as active in the public NPI registry.
What healthcare role does NATALYA KOVALENKO (PA) hold?
Scheduling teams often label NATALYA KOVALENKO (PA) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect NATALYA KOVALENKO (PA) on a map?
Expect Jonesboro, Georgia as a primary anchor for NATALYA KOVALENKO (PA) unless the record lists multiple sites.
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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