Keyona N King-osis, PA-C, PHD - Medicare Physician Assistant in Lawrenceville, GA

Keyona N King-osis, PA-C, PHD is a medicare enrolled "Physician Assistant" in Lawrenceville, Georgia. Her current practice location is 850 Lawrenceville Suwanee Rd Ste 101, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 963-2451.

Keyona N King-osis is licensed to practice in Georgia (license number 9160) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114195195.

Contact Information

Keyona N King-osis, PA-C, PHD
850 Lawrenceville Suwanee Rd Ste 101,
Lawrenceville, GA 30043-5483
(770) 963-2451
Not Available



Provider's Profile

Full NameKeyona N King-osis
GenderFemale
SpecialityPhysician Assistant
Location850 Lawrenceville Suwanee Rd Ste 101, Lawrenceville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114195195
  • Provider Enumeration Date: 02/13/2008
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092974790
  • Enrollment ID: I20221122001907

Medical Identifiers

Medical identifiers for Keyona N King-osis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114195195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 560105029 (Michigan)Secondary
363A00000XPhysician Assistant 9160 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keyona N King-osis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keyona N King-osis, PA-C, PHD
1930 Brannan Rd,
Mcdonough, GA 30253-4310

Ph: (678) 284-4040
Keyona N King-osis, PA-C, PHD
850 Lawrenceville Suwanee Rd Ste 101,
Lawrenceville, GA 30043-5483

Ph: (770) 963-2451

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Physician Assistant Nurses in Lawrenceville, GA

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Phone: 678-306-2212    

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