Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kisa Meredith, PA-C, MHS

Individual provider Surgical Physician Assistant · NPI 1750165775

Kisa Meredith, PA-C, MHS is a Physician Assistant in Atlanta, Georgia. Graduated from Duke University School of Medicine in 2023, 3 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Trained at
Duke University School of Medicine
Licensed in
GA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

960 Johnson Fy Rd NE Ste 335
Atlanta, GA 30342-1625
Phone: (404) 497-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11890 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 11890 (GA)

Record details

NPI number1750165775
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MHS
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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