KATELYN ANN ELY (PA-C) – Physician Assistant, NPI 1770136574

KATELYN ANN ELY (PA-C) is a healthcare provider. based in Alpharetta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9855 (GA). The NPI Number for KATELYN ANN ELY (PA-C) is 1770136574

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN ANN ELY (PA-C)
NPI
1770136574
Phone
(678) 215-5528
Address
3721 CAPE YORK TRCE
Enumeration Date
20 July 2019
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
3476962341
Group Practice PAC ID
7012093925
Professional Enrollment ID
I20210505000806
Address ID
GA303422606AT4890XNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for KATELYN ANN ELY (PA-C)

  • 3721 CAPE YORK TRCE

    ALPHARETTA, GA 300226433

    Phone: (678) 215-5528

    Type: Mailing

  • 1800 NORTHSIDE FORSYTH DR STE 450

    CUMMING, GA 300418483

    Phone: (770) 442-1911

    Type: Location

  • 4890 ROSWELL RD STE B10

    ATLANTA, GA 303422689

    Phone: (404) 835-3052

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $4,449.

Total Amount is formed as General ($4,449) + Research ($0) + Ownership ($0) = $4,449.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($968).

Total Amount

$4,449

General + Research + Ownership

Payments

141

Total payment records

General Amount

$4,449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-05-05

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
I20210505000806IPhysician 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 growths1,081199$0
99213Established patient office or other outpatient visit, 20-29 minutes535402$0
17000Destruction of precancer skin growth, 1 growth310272$0
11102Biopsy of related skin growth, first growth238214$0
17110Destruction of skin growth, 1-14 growths144123$0
View full utilization report →

Insurance plans in this area (ZIP 30022)

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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: 7012093925View full group profile
NameSpecialtyState
-GA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What number should I use to identify KATELYN ANN ELY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1770136574 for KATELYN ANN ELY (PA-C).
Should I treat KATELYN ANN ELY (PA-C) as an active provider?
Patients and plans typically see KATELYN ANN ELY (PA-C) as active in the national extract.
What services align with KATELYN ANN ELY (PA-C)'s listing?
KATELYN ANN ELY (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to KATELYN ANN ELY (PA-C)?
KATELYN ANN ELY (PA-C) shows a connection to Alpharetta, Georgia in registry-derived data.
Why is information missing for KATELYN ANN ELY (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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