Kera Ashlyn Malphus

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN265048 Issued in GA

Practice address

1001 Ward St W
Douglas, GA 31533-2263

Phone

(912) 384-7210

NPI assigned

May 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashlyn.carter.1@26510.direct.athenahealth.com

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.

• Nephrology Group Consultants

  • Nephrology Physician
  • Douglas, GA
  • NPI 1407588205
  Medicare reassignment NPD
• Nephrology Group, LLC

  • Nephrology Physician
  • Douglas, GA
  • NPI 1134604424
  Medicare reassignment NPD

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1033732755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RICHEY LN",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315355916",
            "telephone_number": "912-592-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332263",
            "telephone_number": "912-384-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALPHUS",
        "first_name": "KERA",
        "middle_name": "ASHLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN265048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nephrologygroup.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Ward St W",
            "city": "Douglas",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315332263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• W Eric Macleod, MD
• Magnolia House PCH, Inc
• Mahendra G Amin MD PC
• Malcolms Drug Store Inc
• Malcolms Drug Store Inc
• Elizabeth Martyn, NP
• Alfred Walter Mazur, M.D.
• Mary Kate McBee, APRN
• Leigh Anna McBride, NP-C
• Taylor McCarty, MT013456

• Nurse Practitioner in Douglas, GA
• Providers in Douglas, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.