Individual provider Active NPI

Ashley Suzanne Kindoll, FNP-C

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1043900723
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN274486 Issued in GA
Practice address
3527 N Valdosta Rd
Valdosta, GA 31602-6418
Phone
(229) 247-2290
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 RN274486 GA Primary

Addresses

Primary practice location

3527 N Valdosta Rd
Valdosta, GA 31602-6418

Mailing address

4817 Arrowhead Dr
Lake Park, GA 31636-3129
Phone (229) 305-7797

Other names 1

  • Ashley Suzanne Ward Former name

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
I20230802002585 GA Practitioner - Nurse Practitioner 4789045030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valdosta Orthopedic Associates PCGroup PAC ID 8325938491, 21 clinicians

Practice addresses (Care Compare)

3527 N Valdosta Rd
Valdosta, GA 31602-6418
Phone (229) 247-2290

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Orthopedic Associates PC CurrentSince Jul 1, 2023 Accepting new patients

Locations

3527 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 247-2290

3526 N Crossing Cir
Valdosta, GA 31602
Phone (229) 247-2290

Interoperability endpoints

  • Direct secure messaging: ashley.kindoll.1@11118.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1043900723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 ARROWHEAD DR",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316363129",
            "telephone_number": "229-305-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026418",
            "telephone_number": "229-247-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDOLL",
        "first_name": "ASHLEY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN274486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WARD",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.