DR. ANITA KANITHAHALLI SHETTY (M.D.) – Dermatology Physician, NPI 1649477035
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
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Provider Addresses for DR. ANITA KANITHAHALLI SHETTY (M.D.)
5730 GLENRIDGE DR STE T100
ATLANTA, GA 303285747
Phone: (404) 939-9220
Fax: (470) 312-2157
Type: Mailing
835, Cogburn Avenue Northwest, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States
SUITE 100
MARIETTA, GA 300601031
Phone: (770) 422-5557
Fax: (770) 422-5456
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 157 Open Payments records for all available years, with a total value of $3,780.
Total Amount is formed as General ($3,780) + Research ($0) + Ownership ($0) = $3,780.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($625).
Total Amount
$3,780
General + Research + Ownership
Payments
157
Total payment records
General Amount
$3,780
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $625 |
| ABBVIE INC. | $608 |
| Janssen Biotech, Inc. | $573 |
| UCB, Inc. | $259 |
| Lilly USA, LLC | $188 |
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: 2012-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20121114000585 | I | Dermatology | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,121 | 184 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 372 | 320 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 325 | 243 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 248 | 194 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 161 | $0 |
Insurance plans in this area (ZIP 30328)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | GA | 17003 | Destruction of 2-14 skin growths | 1051 | 242 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | WI | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA | |
| Nurse Practitioner | NC | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | TN | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | VA | |
| Physician Assistant | FL |
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