Individual provider Active NPI

Catherine M. Kilgore, APRN

  • Family Nurse Practitioner
  • Demorest, GA
National Provider Identifier
1245230010
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN089707NP Issued in GA
Practice address
207 Adams Dr
Demorest, GA 30535-4501
Phone
(706) 754-5191
Fax
(706) 754-1725
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 RN089707NP GA Primary

Addresses

Primary practice location

207 Adams Dr
Demorest, GA 30535-4501

Mailing address

207 Adams Dr
Demorest, GA 30535-4501
Phone (706) 754-5191

Other names 1

  • Mrs. Catherine M. Palnau Former name

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
I20050527000236 GA Practitioner - Nurse Practitioner 2163464355 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN089707NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Medical Specialists, PC Family CurrentSince Oct 16, 2023 Accepting new patients

Locations

207 Adams Dr
Demorest, GA 30535
Phone (706) 754-5191

Interoperability endpoints

  • Direct secure messaging: ms_ckilgor1@landmarkhealth-direct.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DACIBA

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1245230010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ADAMS DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354501",
            "telephone_number": "706-754-5191",
            "fax_number": "706-754-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ADAMS DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354501",
            "telephone_number": "706-754-5191",
            "fax_number": "706-754-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "CATHERINE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN089707NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "PALNAU",
            "middle_name": "M.",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Demorest, GA

Sources for this page

Verify at the official NPI Registry.