Individual provider Active NPI

Kimberly A Galaska, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1811237027
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8142 Issued in GA
Practice address
3617 Roswell Rd NE Ste a
Atlanta, GA 30305-1111
Phone
(404) 996-0196
Fax
(404) 467-2489
NPI assigned
Feb 25, 2013
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8142 GA Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

3617 Roswell Rd NE Ste a
Atlanta, GA 30305-1111

Mailing address

1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416
Phone (404) 996-0196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130503000261 TN Practitioner - Physician Assistant 6204073570 Reassigns benefits to 1 organization
I20161111001686 GA Practitioner - Physician Assistant 6204073570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
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)

10945 State Bridge Rd
Suite 501
Alpharetta, GA 30022-8163
Phone (404) 996-0194

1155 Concord Rd SE
Suite 200
Smyrna, GA 30080-4255
Phone (678) 600-5137

13081 Hwy 9 N
Alpharetta, GA 30004-5150
Phone (770) 521-6690

2021 Market Place Blvd
Cumming, GA 30041-7931
Phone (770) 292-9982

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2637 Peachtree Pkwy
Suwanee, GA 30024-1048
Phone (678) 660-5137

2701 Holcomb Bridge Rd
Alpharetta, GA 30022-6812
Phone (770) 998-7611

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2310TNMDAudiologist
8142GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Oct 6, 2016 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3617 Roswell Rd NE
Ste A
Atlanta, GA 30305
Phone (404) 996-0196

1825 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 502-2121

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1811237027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 HIGHWAY 34 E STE 1200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656416",
            "telephone_number": "404-996-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 ROSWELL RD NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051111",
            "telephone_number": "404-996-0196",
            "fax_number": "404-467-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALASKA",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8142",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.