Individual provider Active NPI

Kerry L Kline, MD

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1073582912
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
033614 Issued in GA
Practice address
1303 Dantignac St
Suite 2500
Augusta, GA 30901-2775
Phone
(706) 733-4427
Fax
(706) 737-0215
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 033614 GA Primary

Addresses

Primary practice location

1303 Dantignac St
Suite 2500
Augusta, GA 30901-2775

Mailing address

1303 Dantignac St
Suite 2500
Augusta, GA 30901-2775
Phone (706) 733-4427

Other identifiers 4

IdentifierTypeStateIssuer
000438061BMedicaidGA
338079OtherGAWELLCARE
160048553OtherGARAILROAD MEDICARE
10057971OtherGAAMERIGROUP

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000633 GA Practitioner - Obstetrics/Gynecology 5597953661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health of Augusta, P.C. Obstetrics & Gynecology CurrentSince May 1, 2000 Accepting new patients

Locations

2258 Wrightsboro Rd
Ste 400
Augusta, GA 30904
Phone (706) 724-4400

1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0008551

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1073582912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE 2500",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-733-4427",
            "fax_number": "706-737-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE 2500",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-733-4427",
            "fax_number": "706-737-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "KERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "033614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000438061B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "338079",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160048553",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10057971",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.