Kathleen Moore Wadsworth, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN222791 Issued in GA

Practice address

5612 Whitesville Rd
Columbus, GA 31904-9031

Phone

(706) 322-2223

Fax

(706) 324-5233

NPI assigned

Feb 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1023517802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 WHITESVILLE RD STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049031",
            "telephone_number": "706-322-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 WHITESVILLE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049031",
            "telephone_number": "706-322-2223",
            "fax_number": "706-324-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "KATHLEEN",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN222791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellis J Waddell, RBT
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• Cynthia Wade, LCSW
• Thomas A. Wade Jr., MD
• Janvi Hemantkumar Wadiwala, MD
• Kristina Waggoner, NP-C
• Dionna Wainwright
• Taneshia Laquette Wakefield
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.