Individual provider Active NPI

Kristie Lynn Buchanan, AGACNP-BC

  • Adult Health Nurse Practitioner
  • Lagrange, GA
National Provider Identifier
1306395041
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN219829 Issued in GA
Practice address
1551 Doctors Dr
Lagrange, GA 30240-4139
Phone
(706) 880-7222
Fax
(706) 880-7223
NPI assigned
Sep 22, 2016
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN219829 GA
Adult Health Nurse Practitioner 363LA2200X RN219829 GA Primary

Addresses

Primary practice location

1551 Doctors Dr
Lagrange, GA 30240-4139

Mailing address

1551 Doctors Dr
Lagrange, GA 30240-4139
Phone (706) 880-7222

Other practice location 1

197 Sunny Brook Dr
Newnan, GA 30263-3369
Phone (770) 715-8843

Other practice location 2

1514 Vernon Rd
LaGrange, GA 30240-4131
Phone (706) 845-3563

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ctcasermc@ctcaallscriptsdirect.net Direct
Direct Messaging Address kbuchanan518781@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161121002179 GA Practitioner - Nurse Practitioner 9537448220 Reassigns benefits to 2 organizations
I20250916000630 FL Practitioner - Nurse Practitioner 9537448220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1607 Saint James CT
Suite 2
Tallahassee, FL 32308-5352
Phone (850) 878-8714

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Mar 15, 2023 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Aug 19, 2025 Accepting new patients
Sound Physicians Intensivists of Georgia PC CurrentSince Feb 1, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Oct 17, 2016 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Aug 19, 2025 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

1551 Doctors Dr
Lagrange, GA 30240
Phone (706) 845-7711

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: kbuchanan518781@directwellstar.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1306395041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 DOCTORS DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404139",
            "telephone_number": "706-880-7222",
            "fax_number": "706-880-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 DOCTORS DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404139",
            "telephone_number": "706-880-7222",
            "fax_number": "706-880-7223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Sunny Brook Dr",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302633369",
            "country_code": "US",
            "telephone_number": "770-715-8843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Vernon Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302404131",
            "country_code": "US",
            "telephone_number": "706-845-3563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KRISTIE",
        "middle_name": "LYNN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN219829",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN219829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctcasermc@ctcaallscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "197 Sunny Brook Dr",
            "city": "Newnan",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302633369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbuchanan518781@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1551 Doctors Dr",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.