MRS. KRISTIE ANN MCCANN (PA-C) – Dermatology Physician, NPI 1679137392

MRS. KRISTIE ANN MCCANN (PA-C) is a healthcare provider. based in Warner robins, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9868 (GA). The NPI Number for MRS. KRISTIE ANN MCCANN (PA-C) is 1679137392

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIE ANN MCCANN (PA-C)
NPI
1679137392
Phone
(478) 297-6333
Address
100 Arthur Walter Ct
Enumeration Date
29 April 2019
Last Update Date
4 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789531020
Graduation Year
2020 (6 years ago)
PAC ID
8729405097
Group Practice PAC ID
8921096199
Professional Enrollment ID
I20200901001728
Address ID
GA310886300WA136XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for MRS. KRISTIE ANN MCCANN (PA-C)

  • 100 Arthur Walter Ct

    Warner Robins, GA 310881502

    Phone: (478) 297-6333

    Type: Location

  • 136, South Houston Lake Road, Warner Robins, Houston County, Georgia, 31005, United States

    WARNER ROBINS, GA 310886300

    Phone: (478) 953-1020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,204.

Total Amount is formed as General ($1,204) + Research ($0) + Ownership ($0) = $1,204.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($331).

Total Amount

$1,204

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2020-09-01

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
I20200901001728IPhysician 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
17003Destruction of precancer skin growth, 2-14 growths13823$0
99213Established patient office or other outpatient visit, 20-29 minutes3835$0
17000Destruction of precancer skin growth, 1 growth3333$0
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm1514$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 31088)

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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: 8921096199View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Physician AssistantGA
Dermatology, Micrographic Dermatologic Surgery (Mds)GA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is MRS. KRISTIE ANN MCCANN (PA-C)'s NPI number?
MRS. KRISTIE ANN MCCANN (PA-C)'s NPI is 1679137392 — the number used across U.S. healthcare to identify this provider.
Is MRS. KRISTIE ANN MCCANN (PA-C) still an active registrant?
MRS. KRISTIE ANN MCCANN (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. KRISTIE ANN MCCANN (PA-C)?
MRS. KRISTIE ANN MCCANN (PA-C)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is MRS. KRISTIE ANN MCCANN (PA-C) registered?
Use Warner Robins, Georgia as the headline location for MRS. KRISTIE ANN MCCANN (PA-C) here.
When was this NPI issued?
Enumeration for MRS. KRISTIE ANN MCCANN (PA-C) is noted as April 29, 2019 where the registry provides it.

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