Individual provider Active NPI

Deborah Evelyn Kemp, APRN, BC

  • Adult Health Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1003119207
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN120553 Issued in GA
Practice address
1302 Drayton St
Savannah, GA 31401-6913
Phone
(912) 443-9409
Fax
(912) 443-1843
NPI assigned
Dec 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN120553 GA Primary

Addresses

Primary practice location

1302 Drayton St
Savannah, GA 31401-6913

Mailing address

1302 Drayton St
Savannah, GA 31401-6913
Phone (912) 443-9409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000707 GA Practitioner - Nurse Practitioner 7012194889 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN120553GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SJC Oncology Services - Georgia, LLC CurrentSince Dec 1, 2020 Accepting new patients
Candler Medical Group, Inc. - Downtown PastSince Oct 22, 2023 Accepting new patients

Locations

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

836 E 65th St
Ste 10
Savannah, GA 31405
Phone (912) 712-3163

225 Candler Dr
Ste 100
Savannah, GA 31405
Phone (912) 352-1700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1003119207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 DRAYTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016913",
            "telephone_number": "912-443-9409",
            "fax_number": "912-443-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 DRAYTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016913",
            "telephone_number": "912-443-9409",
            "fax_number": "912-443-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "DEBORAH",
        "middle_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN120553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.