Keri L Amerson
Individual provider Active NPI Primary Care Nurse Practitioner · Valdosta, GA
NPI 1144535840 · NPPES record last updated Aug 18, 2010
Key facts
- NPI
- 1144535840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- RN 141829 (GA)
- Practice address
- 3321 N Valdosta Rd Ste B
Valdosta, GA 31602-1685 - Phone
- (229) 242-9310
- Fax
- (229) 242-9714
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paragon Emergency Services LLC
Practice addresses (Care Compare)
611 Zeagler Dr
Palatka, FL 32177-3810
Phone (800) 424-3672
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110613000350 | FL | Practitioner - Nurse Practitioner | 7416134804 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 141829 | GA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services, LLC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Current |
Accepting new patients | |
| FL-I Medical Services LLC | Current |
Accepting new patients | |
| Paragon Emergency Services LLC | Current |
Accepting new patients | |
| Lake Oliver Emergency Group, LLC | Current |
Accepting new patients | |
| Lake Oliver Emergency Group, LLC | Current |
Accepting new patients | |
| Southland EMS at Madison, PLLC | Current |
Accepting new patients | |
| FL-I Medical Services LLC | Current |
Accepting new patients | |
| Southern Skin & Wellness Center | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
1100 11th St SW
Live Oak, FL 32064
Phone (386) 362-0800
224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977
922 E Call St
Starke, FL 32091
Phone (904) 368-2300
3157 N Monroe St
Tallahassee, FL 32303
Phone (850) 325-5888
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN 141829 | GA | Yes |
Addresses
Primary practice location
3321 N Valdosta Rd Ste B
Valdosta, GA 31602-1685
Mailing address
3321 N Valdosta Rd Ste B
Valdosta, GA 31602-1685
Phone (229) 242-9310
Other providers in Valdosta, GA
- America'S Best Contacts & Eyeglasses
- American Homepatient, Inc.
- Amerimed Equipment, Inc.
- Amerimed Pharmacy & Equipment, LLC.
- Amerimed Therapy
- Latecia Ammons
- Laura Morgan Ammons
- Amy H. Wells, LCSW PC
- Amber Anderson
- John David Anderson
All providers in Valdosta, GA · Primary Care Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.