Individual provider Active NPI

Kacy H. Nesmith, FNP

  • Family Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1023408523
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN173353 Issued in GA
Practice address
1140 Brampton Ave
Statesboro, GA 30458
Phone
(912) 871-2273
NPI assigned
Feb 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN173353 GA Primary

Addresses

Primary practice location

1140 Brampton Ave
Statesboro, GA 30458

Mailing address

1140 Brampton Ave
Statesboro, GA 30458-0847
Phone (912) 871-2273

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
I20150423002392 GA Practitioner - Nurse Practitioner 8921326919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Family Medicine of Georgia, LLCGroup PAC ID 6608914056, 10 clinicians

Practice addresses (Care Compare)

1140 Brampton Ave
Statesboro, GA 30458-0847
Phone 9128712273128

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Family Medicine of Georgia, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

308 E Long St
Claxton, GA 30417
Phone (912) 290-5235

1044 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-2273

1140 Brampton Ave
Statesboro, GA 30458
Phone (912) 871-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJDHAA/Endpoint/HJDHAA

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1023408523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580847",
            "telephone_number": "912-871-2273",
            "fax_number": "912-871-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-871-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESMITH",
        "first_name": "KACY",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN173353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.