Kristen Souther, MSN, RN CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN258617 Issued in GA

Practice address

300 Dawson Commons Cir Ste 320
Dawsonville, GA 30534-6268

Phone

(706) 216-2771

Fax

(706) 216-2944

NPI assigned

Jan 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen Beck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ksouther@dawson.pcc-direct.com

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.

• Dawson Pediatrics,PC

  • Pediatrics Physician
  • Dawsonville, GA
  • NPI 1750435749
  NPD (past)

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1295548006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 BARK CAMP RD",
            "city": "MURRAYVILLE",
            "state": "GA",
            "postal_code": "305641804",
            "telephone_number": "770-654-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DAWSON COMMONS CIR STE 320",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346268",
            "telephone_number": "706-216-2771",
            "fax_number": "706-216-2944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Bald Ridge Marina Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417542",
            "country_code": "US",
            "telephone_number": "706-216-2771",
            "fax_number": "706-216-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHER",
        "first_name": "KRISTEN",
        "credential": "MSN, RN CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN258617",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN258617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BECK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelli Smilie, PNP-PC
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• Jerry Smith
• Melissa Smith
• Dawn Sosebee, FNP
• Southern Orthotics, Inc.
• Spark Path Therapy LLC
• Angela O'Neill Sparks, OTD
• Specialty Orthopaedics, PC
• Tony Michael Stanley Jr., D.M.D

• Pediatric Nurse Practitioner in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.