Kristti Lei Birondo Tan, AGNP-BC
NPI 1679175236ActiveIndividual· Nurse Practitioner, Gerontology· Douglasville, GA
Nurse Practitioner, Gerontology (AGNP-BC) with Douglas Dermatology and Skin Cancer Specialists LLC, practicing in Douglasville, Georgia. Their prescriptions cost Medicare Part D more than their services did: $168,150 for 4,011 claims, against $34,679 paid for services in 2024. Ucb, Inc. was the largest of 20 companies reporting payments in 2025, $1,946 in all, mostly food and beverage.
Overview
| NPI | 1679175236 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP-BC |
| Sole proprietor | No |
| NPI issued | Nov 9, 2020 |
| Last updated in NPPES | Apr 16, 2026 |
| Certified by provider | Apr 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 32408 | TN |
| Nurse Practitioner, Adult Health | 363LA2200X | 1014530 | TX |
| Nurse Practitioner, Adult Health | 363LA2200X | 309683 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA); Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 761 across 17 procedure codes |
| Paid by Medicare | $34,679 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,011 · 4,110 30-day fills |
|---|---|
| Patients | 338 |
| Total drug cost | $168,150 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Douglas Dermatology and Skin Cancer Specialists LLCCartersville, GA · 9 clinicians
Industry payments (Open Payments)
- 2025$1,946 · 72 payments from 20 companies
- 2024$129.54 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ucb, Inc. | $361.74 | 18 |
| Abbvie Inc. | $273.80 | 13 |
| Janssen Biotech, Inc. | $252.07 | 11 |
| Genzyme Corporation | $193.89 | 4 |
| Arcutis Biotherapeutics, Inc. | $184.84 | 2 |
What the 2025 payments were for
- Food and Beverage$1,775 · 70 payments
- Education$171.00 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Gerontology providers in Douglasville
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