Individual provider Active NPI

Michelle Kathryn Kadetz, NP

  • Family Nurse Practitioner
  • Fort Oglethorpe, GA
National Provider Identifier
1194406330
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN249503 Issued in GA
Practice address
400 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3847
Phone
(706) 944-9018
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN249503 GA Primary

Addresses

Primary practice location

400 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3847

Mailing address

1461 Houston Valley Rd
Ringgold, GA 30736-8697
Phone (423) 716-8322

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
I20231211001239 GA Practitioner - Nurse Practitioner 0244689610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Utm of Georgia Physicians LLCGroup PAC ID 5991138307, 14 clinicians

Practice addresses (Care Compare)

1314 Turner McCall Blvd SW
Rome, GA 30161-6070
Phone (706) 728-3240

3980 Jiles Rd NW
Kennesaw, GA 30144-1109
Phone (678) 504-0100

400 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3847
Phone (706) 944-9018

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Utm of Georgia Physicians LLC CurrentSince Sep 26, 2023 Accepting new patients

Locations

400 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 944-9018

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1194406330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 HOUSTON VALLEY RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368697",
            "telephone_number": "423-716-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423847",
            "telephone_number": "706-944-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADETZ",
        "first_name": "MICHELLE",
        "middle_name": "KATHRYN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN249503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.