Kenzie Dittmar, PA
Physician Assistant · Dallas, GA
Kenzie Dittmar, PA is a physician assistant with a practice address in Dallas, Georgia, and NPI 1265228795, issued on Apr 21, 2025. Check the license with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kenzie Dittmar
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 850 Charles Hardy Pkwy, Dallas, GA 30157
- Phone
- (770) 336-8888
- Enumerated
- Apr 21, 2025
- Record last updated
- Jan 29, 2026
- Medicare enrollment
- Enrolled (PECOS I20251027004498); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,662 in Georgia → Look up another NPI →
Also registered at 850 Charles Hardy Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Natalie Mercado, PA-CMedical Physician Assistant1669779278
Verify Kenzie Dittmar in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kenzie Dittmar among 4,662 physician assistant records in Georgia
Kenzie Dittmar, PA 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 not. Its NPI, issued in 2025, is newer than 91% of them.
- NPI issued2025 · 91% of these records are older, 3% newer
- In a Medicare fileNo · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2025 · median 2018 among the 2,761 with a school on file
- Record last updated2026 · 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).
7 physician assistant records list a practice address in Dallas
They are 7 of the 705 NPPES records with a practice address in Dallas, and 4,662 physician assistant records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,662 in Georgia → Every provider in Dallas → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Morgan Baker, PA-CDallas, GA 301571609400886
- Benita Hamilton, PA-CDallas, GA 301571780775486
- Vitia Pack, PA-CDallas, GA 301571013133826
- Mark Roman, PA-CDallas, GA 301571588692602
- Chad Stough, PA-CDallas, GA 301571548570120
- Michael Booth, PARome, GA 301611154581528
- James BrownRome, GA 301611033792551
- Mary Difonzo, MARY DIFONZO PA-CRome, GA 301611649585415
Common questions
What is Kenzie Dittmar, PA's NPI number?
Kenzie Dittmar, PA's National Provider Identifier (NPI) is 1265228795, issued on Apr 21, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Kenzie Dittmar, PA located?
The NPPES record lists a practice address at 850 Charles Hardy Pkwy, Dallas, GA, 30157. Phone: (770) 336-8888. Providers update this record themselves, so call before visiting.
How can I verify Kenzie Dittmar, PA's license?
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. 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.