Katherine Protopapadakis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10142 Issued in GA

Practice address

1280 Highway 74 S Ste 100
Peachtree City, GA 30269-3077

Phone

(678) 961-5150

NPI assigned

Jul 16, 2019

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.rodriguez.1@24615.direct.athenahealth.com

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

• Wellstreet of Georgia PC

  dba Piedmont Urgent Care

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  Medicare reassignment Care Compare group NPD
• Undeniable Healthcare

  • Family Medicine Physician
  • Peachtree City, GA
  • NPI 1871062489
  Medicare reassignment
• Jeffrey a. Sherman, MD, PC

  dba Your Family Doctor

  • Family Medicine Physician
  • Peachtree City, GA
  • NPI 1447476593
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1376195677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 OAKLEY INDUSTRIAL BLVD APT 1101",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302136013",
            "telephone_number": "786-510-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 HIGHWAY 74 S STE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693077",
            "telephone_number": "678-961-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTOPAPADAKIS",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111917",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald L Pratt
• Primolink, Inc
• Priority Homecare LLC
• Procare Foot and Ankle, LLC
• Progressivehealth Rehabilitation Solutions, Inc
• John Prucha
• Pruittplace - Peachtree City, LLC
• Psychiatric Associates of Fayette LLC (Paf)
• Ptcec PC (Peachtree City Eye Center)
• Publix Super Markets Inc (Publix Pharmacy #0799)

• Physician Assistant in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.