Individual provider Active NPI

Keri L Amerson

  • Primary Care Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1144535840
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN 141829 Issued in 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
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN 141829 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110613000350 FL Practitioner - Nurse Practitioner 7416134804 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

611 Zeagler Dr
Palatka, FL 32177-3810
Phone (800) 424-3672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN 141829GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC CurrentSince Oct 22, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
FL-I Medical Services LLC CurrentSince Apr 3, 2020 Accepting new patients
FL-I Medical Services LLC CurrentSince Apr 3, 2020 Accepting new patients
Lake Oliver Emergency Group, LLC CurrentSince Oct 22, 2024 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
Southland EMS at Madison, PLLC CurrentSince Nov 15, 2020 Accepting new patients
Paragon Emergency Services LLC CurrentSince Jan 1, 2025 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

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

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

3157 N Monroe St
Tallahassee, FL 32303
Phone (850) 325-5888

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Organizations & group practices 9

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1144535840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 N VALDOSTA RD STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021685",
            "telephone_number": "229-242-9310",
            "fax_number": "229-242-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 N VALDOSTA RD STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021685",
            "telephone_number": "229-242-9310",
            "fax_number": "229-242-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERSON",
        "first_name": "KERI",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN 141829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.