Individual provider Active NPI

Kristin Hendren Magee, M.D.

  • Dermatology Physician
  • Duluth, GA
National Provider Identifier
1205013141
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
060932 Issued in GA
Practice address
9900 Medlock Bridge Rd
Duluth, GA 30097-2017
Phone
(770) 497-0699
Fax
(770) 497-0388
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 060932 GA Primary

Addresses

Primary practice location

9900 Medlock Bridge Rd
Duluth, GA 30097-2017

Mailing address

3025 Arbor Chase
Decatur, GA 30033-1800
Phone (770) 723-9541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081006000438 GA Practitioner - Dermatology 5092883926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of AtlantaGroup PAC ID 3375502313, 5 clinicians

Practice addresses (Care Compare)

9900 Medlock Bridge Rd
Johns Creek, GA 30097-2017
Phone 7704970699107

Merit-based Incentive Payment System (MIPS)

Final score
91.49 of 100Reported as group
Quality
82.98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions533
Removal or shaving of skin growth1-10
Skin biopsy223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
060932GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of Atlanta CurrentSince Oct 6, 2008 Accepting new patients

Locations

9900 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 497-0699

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1205013141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 ARBOR CHASE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331800",
            "telephone_number": "770-723-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972017",
            "telephone_number": "770-497-0699",
            "fax_number": "770-497-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE",
        "first_name": "KRISTIN",
        "middle_name": "HENDREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "060932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.