KRISTEN MCDERMOTT MOZZO (D.O.) – Family Medicine Physician, NPI 1790210045
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KRISTEN MCDERMOTT MOZZO (D.O.)
6214 LUCERNE ST
JUPITER, FL 334586612
Phone: (404) 694-6055
Type: Mailing
5015 Floyd Rd SW Ste 710
Mableton, GA 301261674
Phone: (404) 334-5485
Type: Location
665 Duluth Hwy
Suite 501
Lawrenceville, GA 300463328
Phone: (678) 312-0400
Fax: (678) 312-0423
Type: Location
5015 FLOYD RD SW STE 710
MABLETON, GA 301261674
Phone: (404) 334-5485
Type: Mailing
PO BOX 1190
LAWRENCEVILLE, GA 300461190
Phone:
Type: Mailing
665, Duluth Highway, Lawrenceville, Gwinnett County, Georgia, 30046, United States
SUITE 501
LAWRENCEVILLE, GA 300463328
Phone: (678) 312-0400
Fax: (678) 312-0423
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($121).
Total Amount
$121
General + Research + Ownership
Payments
1
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $121 |
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: 2021-02-03
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 |
|---|---|---|---|---|
| I20210203001891 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33458)
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Reviews
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