Kevin A. Kissoon, PA
NPI 1124796289ActiveIndividual· Physician Assistant· Brookhaven, GA
Physician Assistant (PA) with Guidewell Emergency Medicine Doctors, LLC, practicing in Brookhaven, Georgia. 44 Medicare patients in 2024, $3,481 paid; nearly all of their 199 Part D prescriptions were generic (96%).
Overview
| NPI | 1124796289 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 2, 2021 |
| Last updated in NPPES | Sep 2, 2021 |
| Certified by provider | Aug 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL); Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 53 across 9 procedure codes |
| Paid by Medicare | $3,481 |
Part D prescriptions in 2024
| Prescriptions (claims) | 199 · 205 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $3,054 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Guidewell Emergency Medicine Doctors, LLCPalm Harbor, FL · 89 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Brookhaven
- 1467941799
- 1952095465
- 1225593619
- 1497448237
- 1760262406
- 1316366289
- 1225817760
- 1487336236
- 1245117894
- 1891519534
- 1164380432
- 1285539528
All 20 physician assistants in Brookhaven · All physician assistants in Georgia