Active NPI
Jennifer O Kempisty, N.P
- Nurse Practitioner
- Columbus, GA
National Provider Identifier
1376097543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN191661
- Practice address
- 1538 13TH Ave
Suite C200
Columbus, GA 31901-1956 - Phone
- (706) 320-2547
- Fax
- (706) 320-2549
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN191661 | GA | Primary |
Addresses
Primary practice location
1538 13TH Ave
Suite C200
Columbus, GA 31901-1956
Mailing address
1538 13TH Ave Ste C200
Columbus, GA 31901-2546
Phone (706) 320-2547
Other practice location 1
3081 Williams Rd Unit A
Columbus, GA 31909-5716
Phone (706) 320-2547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN191661 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rrsoc LLC | Current | Accepting new patients | |
| Serena D. Tidwell, M.D., P.C. | Current | Accepting new patients |
Locations
3081 Williams Rd
Unit A
Columbus, GA 31909
Phone (706) 320-2547
1538 13th Ave
Ste C200
Columbus, GA 31901
Phone (706) 320-2547
Organizations & group practices 2
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.
-
- Body Imaging Physician
- Columbus, GA
- NPI 1295445237
-
- Point of Service
- Columbus, GA
- NPI 1689759581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1376097543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1538 13TH AVE STE C200",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319012546",
"telephone_number": "706-320-2547",
"fax_number": "706-320-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1538 13TH AVE",
"address_2": "SUITE C200",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011956",
"telephone_number": "706-320-2547",
"fax_number": "706-320-2549"
}
],
"practiceLocations": [
{
"address_1": "3081 Williams Rd Unit A",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319095716",
"country_code": "US",
"telephone_number": "706-320-2547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEMPISTY",
"first_name": "JENNIFER",
"middle_name": "O",
"credential": "N.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN191661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.