Active NPI
Kofi Asare
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1760847230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14192
- Practice address
- 1055 Howell Mill Rd NW FL 8
Atlanta, GA 30318-5557 - Phone
- (866) 849-0692
- NPI assigned
- Dec 28, 2015
- Last updated
- Sep 30, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14192 | GA | Primary |
| Physician Assistant | 363A00000X | 0010-17067 | NC |
Addresses
Primary practice location
1055 Howell Mill Rd NW FL 8
Atlanta, GA 30318-5557
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
98 Wolf Rd
Suite 16
Albany, NY 12205-1291
Phone (518) 264-9000
Other practice location 2
1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074
Phone (518) 348-3176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devoted Medical Group Professional Corporation | Past | Accepting new patients |
Interoperability endpoints
- kasare@landmarkhealth-direct.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1760847230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 HOWELL MILL RD NW FL 8",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303185557",
"telephone_number": "866-849-0692"
}
],
"practiceLocations": [
{
"address_1": "98 Wolf Rd",
"address_2": "Suite 16",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122051291",
"country_code": "US",
"telephone_number": "518-264-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1205 Troy Schenectady Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Latham",
"state": "NY",
"postal_code": "121101074",
"country_code": "US",
"telephone_number": "518-348-3176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASARE",
"first_name": "KOFI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-28",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "14192",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-17067",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.