Active NPI
Joel B. Kazinec, PA-C, MMSC
- Physician Assistant
- Marietta, GA
National Provider Identifier
1649779398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 141 Lacy St NW Ste 200
Marietta, GA 30060-1118 - Phone
- (770) 426-7177
- Fax
- (770) 426-7745
- NPI assigned
- Feb 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
141 Lacy St NW Ste 200
Marietta, GA 30060-1118
Mailing address
3230 Post Woods Dr Apt B
Atlanta, GA 30339-3441
Phone (404) 353-5569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayal Dermatology & Skin Cancer Specialists | Past | Accepting new patients |
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.
-
- Specialist
- Marietta, GA
- NPI 1235358441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1649779398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 POST WOODS DR APT B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393441",
"telephone_number": "404-353-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 LACY ST NW STE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601118",
"telephone_number": "770-426-7177",
"fax_number": "770-426-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZINEC",
"first_name": "JOEL",
"middle_name": "B.",
"credential": "PA-C, MMSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.