Organization Active NPI

Middle Georgia Wound Solutions LLC

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1225714496
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MIDDLE GEORGIA WOUND SOLUTIONS LLC
Practice address
100 Cattlemens Dr
Macon, GA 31220-8300
Phone
(850) 544-5299
Fax
(888) 571-3298
NPI assigned
Jun 23, 2023
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Mrs. Courtney Lane Kinsey, FNP-CNPI 1427626886
Title
Nurse Practitioner
Phone
(850) 544-5299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

100 Cattlemens Dr
Macon, GA 31220-8300

Mailing address

100 Cattlemens Dr
Macon, GA 31220-8300
Phone (850) 544-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231204001297 GA Part B Supplier - Clinic/Group Practice 9931557824 Receives reassigned benefits from 2 practitioners
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

100 Cattlemens Dr
Macon, GA 31220
Phone (850) 544-5299

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1225714496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CATTLEMENS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208300",
            "telephone_number": "850-544-5299",
            "fax_number": "888-571-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CATTLEMENS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208300",
            "telephone_number": "850-544-5299",
            "fax_number": "888-571-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA WOUND SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "850-544-5299",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.