Active NPI
Kaci Hinson Gerhardt, NP
- Pediatric Registered Nurse
- Macon, GA
National Provider Identifier
1447896840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- RN196699
- Practice address
- 2576 Elizabeth PL
Macon, GA 31204-2414 - Phone
- (478) 954-0968
- NPI assigned
- Nov 20, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN196699 | GA | Primary |
Addresses
Primary practice location
2576 Elizabeth PL
Macon, GA 31204-2414
Mailing address
2576 Elizabeth PL
Macon, GA 31204-2414
Phone (478) 954-0968
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 |
|---|---|---|---|
| RN196699 | GA | MD | Pediatric Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Pediatrics, PC | Past | Accepting new patients | |
| Middle Georgia Medical Associates, P.C. | Past | Accepting new patients |
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.
-
- Pulmonary Disease Physician
- Warner Robins, GA
- NPI 1992751911
-
- Specialist
- Macon, GA
- NPI 1477638575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1447896840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2576 ELIZABETH PL",
"city": "MACON",
"state": "GA",
"postal_code": "312042414",
"telephone_number": "478-954-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2576 ELIZABETH PL",
"city": "MACON",
"state": "GA",
"postal_code": "312042414",
"telephone_number": "478-954-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERHARDT",
"first_name": "KACI",
"middle_name": "HINSON",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "GA",
"license": "RN196699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.