Kellie Elise Wydrinski, PAC
Physician Assistant · Atlanta, GA
Kellie Elise Wydrinski, PAC is a physician assistant with a practice address in Atlanta, Georgia, and NPI 1184471377, issued on May 4, 2024. Check the license (Georgia 12383, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kellie Elise Wydrinski
- Credential
- PAC
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 12383 GA
Self-reported in NPPES; status is on the state search - Practice location
- 980 Johnson Ferry RD Ste 820, Atlanta, GA 30342
- Phone
- (404) 252-9307
- Enumerated
- May 4, 2024
- Record last updated
- Jul 12, 2024
- Fax
- (404) 252-5839
- Medicare enrollment
- Enrolled (PECOS I20240726001358); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,662 in Georgia → Look up another NPI →
Also registered at 980 Johnson Ferry RD Ste 820
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michael Castillo, MDGastroenterology Physician1407389844
- Sudhisha Jala, PA-CMedical Physician Assistant1659895373
Verify Kellie Elise Wydrinski in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 12383Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $675.98
7 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Biotech, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Aga Professional Services LLCAtlanta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kellie Elise Wydrinski among 4,662 physician assistant records in Georgia
Kellie Elise Wydrinski, PAC is one of 4,662 physician assistant records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 84% of them.
- NPI issued2024 · 84% of these records are older, 9% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2024 · median 2018 among the 2,761 with a school on file
- Record last updated2024 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,186 physician assistant records list a practice address in Atlanta
They are 1,186 of the 31,476 NPPES records with a practice address in Atlanta, and 4,662 physician assistant records in Georgia.
All 4,662 in Georgia → Every provider in Atlanta → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jaime Ackerman, PA-CAtlanta, GA 303421013992544
- James Bellinger, PA-CAtlanta, GA 303421932166147
- Peter Bennie, PAAtlanta, GA 303421164498903
- Lee Coulter, P.A.-CAtlanta, GA 303421942207535
- Brian Daitch, PA-CAtlanta, GA 303421912958430
- Fedlande Ferjuste, PACAtlanta, GA 303421306817796
- Amanda Goldner, PA-CAtlanta, GA 303421467439851
- Devon Jackoniski, PAAtlanta, GA 303421891760757
Common questions
What is Kellie Elise Wydrinski, PAC's NPI number?
Kellie Elise Wydrinski, PAC's National Provider Identifier (NPI) is 1184471377, issued on May 4, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Kellie Elise Wydrinski, PAC located?
The NPPES record lists a practice address at 980 Johnson Ferry RD Ste 820, Atlanta, GA, 30342. Phone: (404) 252-9307. Providers update this record themselves, so call before visiting.
How can I verify Kellie Elise Wydrinski, PAC's license?
NPPES lists Georgia license number 12383, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.