Individual provider Active NPI

Katherine Elizabeth Naymick, DO

  • Family Medicine Physician
  • Calhoun, GA
National Provider Identifier
1225008857
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042371 Issued in GA
Practice address
454 Red Bud Rd NE
Calhoun, GA 30701
Phone
(706) 383-8384
Fax
(706) 250-9943
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042371 GA Primary

Addresses

Primary practice location

454 Red Bud Rd NE
Calhoun, GA 30701

Mailing address

454 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 383-8384

Other identifiers 1

IdentifierTypeStateIssuer
00719705AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
042371GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owasa Family Medicine Family Medicine Current Accepting new patients

Locations

109 Hospital Dr
Calhoun, GA 30701
Phone (706) 625-0333

Organizations & group practices 1

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1225008857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "30701",
            "telephone_number": "706-383-8384",
            "fax_number": "706-250-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "30701",
            "telephone_number": "706-383-8384",
            "fax_number": "706-250-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYMICK",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00719705A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.