Individual provider Active NPI

Kristi S Stewart, NP

  • Family Nurse Practitioner
  • Albany, GA
National Provider Identifier
1407341902
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN138006 Issued in GA
Practice address
2740 Ray Knight Way Ste 100
Albany, GA 31707-0226
Phone
(229) 312-0698
Fax
(229) 438-7898
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN138006 GA Primary

Addresses

Primary practice location

2740 Ray Knight Way Ste 100
Albany, GA 31707-0226

Mailing address

500 W 3Rd Ave Ste 101
Albany, GA 31701-1900
Phone (229) 312-5802

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926001955 GA Practitioner - Nurse Practitioner 6507117827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

2740 Ray Knight Way
Suite 100
Albany, GA 31707-0226
Phone (229) 889-0298

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN138006GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Putney Memorial Hospital Inc Current Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Mar 1, 2020 Accepting new patients
Phoebe Putney Memorial Hospital CurrentSince Mar 1, 2020 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2740 Ray Knight Way
Ste 1
Albany, GA 31707

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2740 Ray Knight Way
Ste 100
Albany, GA 31707
Phone (229) 312-0698

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Interoperability endpoints

  • Direct secure messaging: kristi.stewart@phoebehealth.gadirect.net
  • Direct secure messaging: kristi.stewart.1@8478.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1407341902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 3RD AVE STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011900",
            "telephone_number": "229-312-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 RAY KNIGHT WAY STE 100",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070226",
            "telephone_number": "229-312-0698",
            "fax_number": "229-438-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KRISTI",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN138006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.