Active NPI
Kyle Dustin Kaufman, NP-C
- Family Nurse Practitioner
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN204060
- Practice address
- 113 Willie Lee Pkwy
Warner Robins, GA 31088-8970 - Phone
- (478) 333-6688
- Fax
- (478) 333-6634
- NPI assigned
- Jun 26, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN204060 | GA | Primary |
Addresses
Primary practice location
113 Willie Lee Pkwy
Warner Robins, GA 31088-8970
Mailing address
113 Willie Lee Pkwy
Warner Robins, GA 31088-8970
Phone (478) 333-6688
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600
113 Willie Lee Pkwy
Warner Robins, GA 31088-8970
Phone (478) 333-6688
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Central Georgia, Inc | Current | Accepting new patients |
Locations
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
113 Willie Lee Pkwy
Warner Robins, GA 31088
Phone (478) 333-6688
Interoperability endpoints
- kkaufman2957297@carolinashealthcaresystem.direct-ci.com
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.
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
-
dba Atrium Health Navicent Peach
- Critical Access Hospital
- Byron, GA
- NPI 1114923406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1366937930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WILLIE LEE PKWY",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888970",
"telephone_number": "478-333-6688",
"fax_number": "478-333-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WILLIE LEE PKWY",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888970",
"telephone_number": "478-333-6688",
"fax_number": "478-333-6634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "KYLE",
"middle_name": "DUSTIN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN204060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.