Nicole Kjosa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2021 Peachtree Rd NE Ste 350
Atlanta, GA 30309-1982

Phone

(470) 291-0574

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Four Corners Primary Care Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Norcross, GA
  • NPI 1265624548

  GA

  Medicare reassignment NPD
• Four Corners Primary Care Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lawrenceville, GA
  • NPI 1285325282
  NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1861271371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 PEACHTREE RD NE STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091982",
            "telephone_number": "470-291-0574",
            "fax_number": "470-622-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 PEACHTREE RD NE STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091982",
            "telephone_number": "470-291-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJOSA",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine P Kittner, M.ED
• Dawn Kitto, MS, LPC
• John Cosper Kittrell, RDN
• Kitty'S Home Kare Servies, LLC
• Jamie Kitzman, MD
• Cheryl Klaiman, PHD
• Linda Klaitz, ED.D
• Bryan Klapes, DO, PHD
• Christy Cason Klarman, PHARM.D.
• Delaney Klas

• All providers in Atlanta, GA
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.