Kenneth L. Boss, MD
NPI 1104891472ActiveIndividual· Family Medicine· Carrollton, GA
Family Medicine (MD) in Carrollton, Georgia, trained at Medical College of Georgia School of Medicine (class of 1999). In 2024 Medicare paid $32,701 for 292 patients, and Part D covered 608 of their prescriptions, 87% of them generic. Novo Nordisk Inc was the largest of 3 companies reporting payments in 2025, $95.07 in all, mostly food and beverage.
Overview
| NPI | 1104891472 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 21, 2006 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Mar 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 052425 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 292 |
|---|---|
| Services billed | 994 across 52 procedure codes |
| Paid by Medicare | $32,701 |
Part D prescriptions in 2024
| Prescriptions (claims) | 608 · 672 30-day fills |
|---|---|
| Patients | 392 |
| Total drug cost | $17,316 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Family Practice |
Medical groups
- Wellstreet of Georgia PCFayetteville, GA · 430 clinicians
- 316 Family MedicineBremen, GA · 4 clinicians
Hospital affiliations
- Tanner Medical Center - CarrolltonCarrollton, GA
- Tanner Medical Center Villa RicaVilla Rica, GA
Other facilities
- Central Home Health Care, An Amedisys CompanyHome health agency · Douglasville, GA
Industry payments (Open Payments)
- 2025$95.07 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $39.68 | 2 |
| Tandem Diabetes Care, Inc. | $28.75 | 1 |
| Corcept Therapeutics | $26.64 | 1 |
What the 2025 payments were for
- Food and Beverage$95.07 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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