Active NPI
Katie Lyn Kurtz, PA-C
- Medical Physician Assistant
- Conyers, GA
National Provider Identifier
1124449723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10945
- Practice address
- 2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974 - Phone
- (770) 929-0813
- Fax
- (770) 922-8653
- NPI assigned
- Dec 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | |||
| Medical Physician Assistant | 363AM0700X | 10945 | GA | Primary |
Addresses
Primary practice location
2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974
Mailing address
2020 Honey Creek Pkwy SE
Conyers, GA 30013-2974
Phone (770) 929-0813
Other names 1
- Katie Lyn Mauzy
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220427001089 | GA | Practitioner - Physician Assistant | 5193112852 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Esop Rehabilitation LLCPhysiotherapy Associates Inc
Practice addresses (Care Compare)
875 Flat Shoals Rd SE
Suite 150
Conyers, GA 30094-6640
Phone (770) 785-7669
9152 Hwy 278 NE
Covington, GA 30014-7010
Phone (678) 342-9339
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1124449723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 HONEY CREEK PKWY SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132974",
"telephone_number": "770-929-0813",
"fax_number": "770-922-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 HONEY CREEK PKWY SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132974",
"telephone_number": "770-929-0813",
"fax_number": "770-922-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "KATIE",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-27",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "10945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "MAUZY",
"middle_name": "LYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.