Individual provider Active NPI

Kathryn Berman, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1861949224
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008064 Issued in GA
Practice address
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone
(404) 367-3014
NPI assigned
Sep 2, 2016
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008064 GA Primary

Addresses

Primary practice location

1968 Peachtree Rd NW
Atlanta, GA 30309-1281

Mailing address

1700 Hospital South Dr Ste 202
Austell, GA 30106-8116

Other practice location 1

1700 Hospital South Dr Ste 202
Austell, GA 30106-8116
Phone (770) 944-7818

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kberman410623@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 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
I20161019001531 GA Practitioner - Physician Assistant 8426346768 Reassigns benefits to 5 organizations
I20260227003014 NC Practitioner - Physician Assistant 8426346768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Urgencare, LLCGroup PAC ID 7113250325, 18 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Suite 4200
Asheville, NC 28801-0332
Phone (828) 213-1740

1700 Hospital S Dr
Austell, GA 30106-8116

2169 W Point Rd
Suite 300
Lagrange, GA 30240-4037
Phone (706) 668-5140

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Feb 1, 2026 Accepting new patients
Urgencare, LLC CurrentSince Nov 10, 2025 Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1700 Hospital South Dr
Ste 202
Austell, GA 30106
Phone (770) 793-7440

153 S College St
Hamilton, GA 31811
Phone (706) 628-9980

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2169 West Point Rd
Ste 300
Lagrange, GA 30240
Phone (706) 668-5140

16 Market Square Rd
Newnan, GA 30265
Phone (706) 668-5140

1 Hospital Dr
Ste 4200
Asheville, NC 28801
Phone (828) 213-1994

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

Interoperability endpoints

  • Direct secure messaging: kberman410623@directwellstar.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1861949224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR STE 202",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-367-3014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Hospital South Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301068116",
            "country_code": "US",
            "telephone_number": "770-944-7818",
            "fax_number": "770-944-6402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kberman410623@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1700 Hospital South Dr Ste 202",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301068116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.