Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kenzie Dittmar, PA

Physician Assistant in Dallas, GA · enumerated 2025.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265228795

Verified

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Registry record

Entity type Individual (Type 1)

Name Kenzie Dittmar

Credential PA

Sex Female

Practice address Dallas, GA, 30157

Phone (770) 336-8888

Enumeration date Apr 21, 2025

Last updated in NPPES Jan 29, 2026

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kenzie Dittmar practice?

The practice location on file with NPPES is in Dallas, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kenzie Dittmar?

The National Provider Identifier (NPI) for Kenzie Dittmar is 1265228795, a Type 1 (individual) record in the CMS NPPES registry.

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Natalie Mercado Medical Physician Assistant · Dallas, GA NPI 1669779278

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-29.