Kelly Zavoli, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10261 Issued in GA

Practice address

3240 Northeast Expy NE
Atlanta, GA 30341-4003

Phone

(404) 480-9330

NPI assigned

Dec 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Physician Assistant

Education

Yale University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perimeter Professional Services, LLCGroup PAC ID 9032337423, 21 clinicians

Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Perimeter Professional Services, LLC

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235543620

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Northside Urgent Care Holding, LLC

  • Urgent Care Clinic/Center
  • Atlanta, GA
  • NPI 1679962237
  Medicare reassignment Care Compare group
• Northside Primary Care Professional Services,LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1922397553

  Single Specialty

  Medicare reassignment NPD
• Perimeter North Family Practice LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1295936318

  Single Specialty

  NPD (past)
• Charles R Tessier DO PC

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1558786665

  Single Specialty

  NPD (past)
• Moore Family Medical PLC

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1174720981

  Single Specialty

  NPD (past)

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

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1891334389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 FOX CREEK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406692",
            "telephone_number": "714-743-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 NORTHEAST EXPY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414003",
            "telephone_number": "404-480-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVOLI",
        "first_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "4223",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yara William Zaru
• Amber C Zaunbrecher, O.D.
• Dana Trahant Zavatkay, PHD,BCBA.D
• Nicole Zavodnick, PA
• Denis L Zavodny, PH.D., BCBA
• Celena McLaurin Zaworski, APRN
• Robert E Zaworski, M.D., P.C.
• Tamara M Zaworski, CPNP
• Andrea Zawoyski, PHD
• Safira Zayas, CD, MT

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.