Fred Jason Kight, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

026572 Issued in GA

Practice address

1248 Augusta West Pkwy
Augusta, GA 30909-1854

Phone

(706) 863-0500

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dermatology Specialists of Augusta, Inc

  • Dermatology Physician
  • Evans, GA
  • NPI 1558339275
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437142072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091854",
            "telephone_number": "706-863-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091854",
            "telephone_number": "706-863-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIGHT",
        "first_name": "FRED",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "026572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00416446A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "52047422-001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kids First Pediatric Group of Augusta ,P.C
• Kids First Pediatric Group of Augusta,Inc.
• Kids Prompt Care, LLC
• Barbara S. Kiernan, PHD, RN, APRN, PNP
• Thomas William Kiernan, M.D.
• Matthew Kikuchi, DMD
• Patsy April Kilgore, DNP
• Richard Edward Kilgore, M.D.
• Daniel William Killingsworth, MD
• Yevgeny Kilman, MD

• Dermatology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.