Kenzie Dittmar, PA
NPI 1265228795 · Physician Assistant · Dallas, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenzie Dittmar, PA is a Physician Assistant provider in Dallas, GA (NPI 1265228795).
Provider details
- NPI number
- 1265228795
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 10 Cloverleaf DrCartersville, GA 30120-2178Phone: (770) 606-8026
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Kenzie Dittmar's NPI number?
- Kenzie Dittmar's National Provider Identifier (NPI) is 1265228795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenzie Dittmar's specialty?
- Kenzie Dittmar is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenzie Dittmar located?
- Kenzie Dittmar's practice location on file with NPPES is 850 Charles Hardy Pkwy, Dallas, GA 30157-3163.
- What is Kenzie Dittmar's phone number?
- The practice phone number listed in the NPPES registry for Kenzie Dittmar is (770) 336-8888.
- Does Kenzie Dittmar accept Medicare?
- Kenzie Dittmar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenzie Dittmar's NPI active?
- Yes — Kenzie Dittmar's NPI (1265228795) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.