MRS. KATHRYN G BRADY (PAC) – Physician Assistant, NPI 1912123761
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MRS. KATHRYN G BRADY (PAC)
104 PROMINENCE POINT PKWY
SUITE 104
CANTON, GA 301141236
Phone: (770) 704-6988
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 36 Open Payments records for all available years, with a total value of $14,946.
Total Amount is formed as General ($14,946) + Research ($0) + Ownership ($0) = $14,946.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($14,550).
Total Amount
$14,946
General + Research + Ownership
Payments
36
Total payment records
General Amount
$14,946
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 |
|---|---|
| Novo Nordisk Inc | $14,550 |
| PFIZER INC. | $151 |
| Exact Sciences Corporation | $60 |
| GlaxoSmithKline, LLC. | $45 |
| SANOFI-AVENTIS U.S. LLC | $39 |
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: 2009-01-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090121000335 | I | Physician Assistant | GA | TBD |
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.
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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 357 | 198 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 270 | 166 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 113 | $0 |
| G0109 | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | 62 | 21 | $0 |
| 81003 | Automated urinalysis test | 60 | 49 | $0 |
Insurance plans in this area (ZIP 30114)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | OH | |
| - | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | GA |
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