DR. FANTA ELIZABETH KASIAH (M.D.) – Family Medicine Physician, NPI 1639480684

DR. FANTA ELIZABETH KASIAH (M.D.) is a healthcare provider. based in Evans, Georgia. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4212 (GA). The NPI Number for DR. FANTA ELIZABETH KASIAH (M.D.) is 1639480684

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. FANTA ELIZABETH KASIAH (M.D.)
NPI
1639480684
Phone
(706) 922-3669
Address
104 N BELAIR RD
Enumeration Date
24 June 2010
Last Update Date
3 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065544435
Graduation Year
2010 (16 years ago)
PAC ID
8729227178
Group Practice PAC ID
9537547401
Professional Enrollment ID
I20130909000461
Address ID
GA308309686WA351XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. FANTA ELIZABETH KASIAH (M.D.)

  • 104 N BELAIR RD

    SUITE 101

    EVANS, GA 308096503

    Phone: (706) 922-3669

    Mailing address matches the actual address.

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 $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2023-09-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($39).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-29

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: 2013-09-09

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
I20130909000461IEmergency MedicineGATBD

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
99203New patient office or other outpatient visit, 30-44 minutes104104$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10312$0
99284Emergency department visit with moderate level of medical decision making9690$0
99285Emergency department visit with high level of medical decision making9490$0
99213Established patient office or other outpatient visit, 20-29 minutes5234$0
View full utilization report →

Insurance plans in this area (ZIP 30809)

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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: 9537547401View full group profile
NameSpecialtyState
General Surgery, Thoracic Surgery, Vascular SurgeryFL
Internal MedicineGA
Preventive MedicineGA
Nurse PractitionerGA
Emergency MedicineGA
Family Practice, Emergency Medicine, Emergency MedicineGA
Emergency MedicineTX
Internal MedicineGA
General PracticeGA
Family PracticeND

Reviews

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Frequently asked questions

What identifier follows DR. FANTA ELIZABETH KASIAH (M.D.) across health systems?
The NPI 1639480684 uniquely identifies DR. FANTA ELIZABETH KASIAH (M.D.) in U.S. healthcare data.
Is DR. FANTA ELIZABETH KASIAH (M.D.)'s NPI status active today?
Active status means DR. FANTA ELIZABETH KASIAH (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. FANTA ELIZABETH KASIAH (M.D.)'s listing?
DR. FANTA ELIZABETH KASIAH (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. FANTA ELIZABETH KASIAH (M.D.) tied to Evans, Georgia?
If you are local to Evans, Georgia, DR. FANTA ELIZABETH KASIAH (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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