GABRIELLE POTTS KINNEY (PA-C) – Physician Assistant, NPI 1720418122

GABRIELLE POTTS KINNEY (PA-C) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 007815 (GA). The NPI Number for GABRIELLE POTTS KINNEY (PA-C) is 1720418122

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
GABRIELLE POTTS KINNEY (PA-C)
NPI
1720418122
Phone
(404) 367-3014
Address
1968 PEACHTREE RD NW
Enumeration Date
21 November 2013
Last Update Date
19 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043214600
Graduation Year
2013 (13 years ago)
PAC ID
9931338803
Group Practice PAC ID
3678547569
Professional Enrollment ID
I20151217001867
Address ID
GA300333415DE1951XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for GABRIELLE POTTS KINNEY (PA-C)

  • 1968 PEACHTREE RD NW

    ATLANTA, GA 303091281

    Phone: (404) 367-3014

    Fax: (404) 367-3558

    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 95 Open Payments records for all available years, with a total value of $2,429.

Total Amount is formed as General ($2,429) + Research ($0) + Ownership ($0) = $2,429.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($792).

Total Amount

$2,429

General + Research + Ownership

Payments

95

Total payment records

General Amount

$2,429

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2015-12-17

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
I20151217001867IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30309)

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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: 3678547569View full group profile
NameSpecialtyState
Physician AssistantGA
-GA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YIL
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

Can I use this page to confirm GABRIELLE POTTS KINNEY (PA-C)'s NPI?
Yes. GABRIELLE POTTS KINNEY (PA-C) is listed with NPI 1720418122 in the public NPI dataset.
Does CMS list GABRIELLE POTTS KINNEY (PA-C) as active?
Yes — GABRIELLE POTTS KINNEY (PA-C) is active in the NPI listing used on this page.
What is GABRIELLE POTTS KINNEY (PA-C)'s specialty?
The listing groups GABRIELLE POTTS KINNEY (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for GABRIELLE POTTS KINNEY (PA-C)?
GABRIELLE POTTS KINNEY (PA-C)'s geographic hint is Atlanta, Georgia in our summary view.
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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