Active NPI
Kathryn Berman, PA-C
- Physician Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 008064
- Practice address
- 1968 Peachtree Rd NW
Atlanta, GA 30309-1281 - Phone
- (404) 367-3014
- NPI assigned
- Sep 2, 2016
- Last updated
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kberman410623@directwellstar.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Mission Health Community Multispecialty Providers, LLC | Physician Assistant | Current | Accepting new patients |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Urgencare, LLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Lagrange, GA
- NPI 1598223844
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- Cardiovascular Disease Physician
- Stockbridge, GA
- NPI 1376624940
-
- Critical Care Medicine (Internal Medicine) Physician
- Macon, GA
- NPI 1376159590
-
dba WellStar North Douglas Ob/Gyn
- Obstetrics & Gynecology Physician
- Douglasville, GA
- NPI 1083910046
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
-
- Internal Medicine Physician
- Arden, NC
- NPI 1366912586
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Mission Hospital
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.