Active NPI
Frank David Kuitems, MD, ABIM BOARD CERT.
- Internal Medicine Physician
- Blue Ridge, GA
National Provider Identifier
1245304013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 027213
- Practice address
- 165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431 - Phone
- (706) 946-4647
- Fax
- (706) 374-7628
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 027213 | GA | Primary |
Addresses
Primary practice location
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Mailing address
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5607
Other practice location 1
1008 N 3rd Ave
Chatsworth, GA 30705-2118
Phone (706) 517-2273
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027213 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Mountains Health Services, Inc. | Current | Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Current | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Internal Medicine | Past | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
165 Blue Ridge Overlook
Blue Ridge, GA 30513
Phone (706) 946-4647
1008 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 517-2273
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Blue Ridge, GA
- NPI 1538123666
-
- Federally Qualified Health Center (FQHC)
- La Fayette, GA
- NPI 1932991791
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1245304013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 BLUE RIDGE OVERLOOK",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134431",
"telephone_number": "706-946-5607",
"fax_number": "706-374-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 BLUE RIDGE OVERLOOK",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134431",
"telephone_number": "706-946-4647",
"fax_number": "706-374-7628"
}
],
"practiceLocations": [
{
"address_1": "1008 N 3rd Ave",
"address_purpose": "LOCATION",
"city": "Chatsworth",
"state": "GA",
"postal_code": "307052118",
"country_code": "US",
"telephone_number": "706-517-2273",
"fax_number": "706-517-2469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUITEMS",
"first_name": "FRANK",
"middle_name": "DAVID",
"credential": "MD, ABIM BOARD CERT.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2024-07-15",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "027213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.