Individual provider Active NPI

Kelsey Lynne Greeff, P.A.-C

  • Medical Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1770108805
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3400C Old Milton Pkwy Ste 270
Alpharetta, GA 30005-4438
Phone
(770) 442-1911
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3400C Old Milton Pkwy Ste 270
Alpharetta, GA 30005-4438

Mailing address

2706 Tarva PL
Duluth, GA 30097-7401
Phone (678) 462-3882

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511000142 GA Practitioner - Physician Assistant 9739598442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maxa Internal Medicine Associates PCGroup PAC ID 7113831017, 6 clinicians

Practice addresses (Care Compare)

3505 Duluth Park Lane
BLDG 4 Suite 400
Duluth, GA 30096

3505 Duluth Park LN
Suite 400
Duluth, GA 30096-3203
Phone (678) 597-3180

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aga, LLC PastSince Jun 1, 2020 Accepting new patients
Aga Professional Services, LLC PastSince Jun 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 3

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1770108805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 TARVA PL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977401",
            "telephone_number": "678-462-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400C OLD MILTON PKWY STE 270",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054438",
            "telephone_number": "770-442-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEFF",
        "first_name": "KELSEY",
        "middle_name": "LYNNE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.