Individual provider Active NPI

Kristin Oliver, FNP-C

  • Nurse Practitioner
  • Canton, GA
National Provider Identifier
1114388378
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN214105 Issued in GA
Practice address
320 Hospital Rd
Canton, GA 30114-2410
Phone
(770) 479-5535
Fax
(770) 479-8821
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN214105 GA Primary

Addresses

Primary practice location

320 Hospital Rd
Canton, GA 30114-2410

Mailing address

320 Hospital Rd
Canton, GA 30114-2410
Phone (770) 479-5535

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
I20160425000433 GA Practitioner - Nurse Practitioner 9830498948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Professional Services, LLCGroup PAC ID 1355578485, 23 clinicians

Practice addresses (Care Compare)

320 Hospital Rd
Canton, GA 30114-2432
Phone (770) 479-5535

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

Merit-based Incentive Payment System (MIPS)

Final score
78.89 of 100Reported as group
Quality
70.82
Promoting interoperability
78
Improvement activities
40
Cost
77.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Apr 4, 2016 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Apr 1, 2019 Accepting new patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Apr 4, 2016 Accepting new patients
Medical Associates Professional Services, LLC CurrentSince Mar 15, 2022 Accepting new patients
Northside Primary Care Professional Services,LLC Past Accepting new patients

Locations

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

1400 Northside Forsyth Dr
Ste 250
Cumming, GA 30041
Phone (770) 889-7118

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000

790 Church St NE
Ste 550
Marietta, GA 30060
Phone (770) 419-9902

18 Riverbend Dr SW
Ste 100
Rome, GA 30161
Phone (706) 290-9999

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5730 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 816-3000

Organizations & group practices 5

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 1

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1114388378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HOSPITAL RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142410",
            "telephone_number": "770-479-5535",
            "fax_number": "770-479-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HOSPITAL RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142410",
            "telephone_number": "770-479-5535",
            "fax_number": "770-479-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KRISTIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN214105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.