Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric Kiskaddon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366838815

Eric Kiskaddon is an Orthopedic Surgery in Roswell, Georgia. Graduated from University of Louisville School of Medicine in 2015, 11 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Trained at
University of Louisville School of Medicine
Licensed in
GA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1360 Uppr Hembree RD Ste 103
Roswell, GA 30076-1230
Phone: (470) 267-0410
Fax: (770) 999-2710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 91642 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366838815
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2015
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address1360 Upper Hembree Rd Ste 103, Roswell, GA 30076-1230

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Roswell