Active NPI
Kendall Stuart Brewer, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 92954
- Practice address
- 311 West 8TH Street
Rome, GA 30165-2723 - Phone
- (706) 291-8702
- Fax
- (706) 291-6514
- NPI assigned
- Jun 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 92954 | GA | |
| Cytopathology Physician | 207ZC0500X | MD.44534 | AL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD.44534 | AL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35.138546 | OH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 92954 | GA | Primary |
Addresses
Primary practice location
311 West 8TH Street
Rome, GA 30165-2723
Mailing address
311 West 8TH Street
Rome, GA 30165-2723
Phone (706) 291-8702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003272587A | Medicaid | GA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Medical University of South Carolina College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 W 8TH St NE
Rome, GA 30165-2723
Phone (706) 291-8702
Hospital & facility affiliations
- Adventhealth Gordon
- Adventhealth Murray
- Adventhealth Redmond
- Piedmont Mountainside Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.3 of 100
- Quality
- 56.6
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.44534 | AL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Pathology, P.C. | Cytopathology | Current | Accepting new patients |
| Southeastern Pathology, P.C. | Cytopathology | Current | Accepting new patients |
Locations
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
311 W 8th St NE
Rome, GA 30165
Phone (706) 291-2430
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Rome, GA
- NPI 1508848300
Cytopathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Rome, GA
- NPI 1407188345
Cytopathology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chatsworth, GA
- NPI 1750776571
-
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
-
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1457732992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 WEST 8TH STREET",
"city": "ROME",
"state": "GA",
"postal_code": "301652723",
"telephone_number": "706-291-8702",
"fax_number": "706-291-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 WEST 8TH STREET",
"city": "ROME",
"state": "GA",
"postal_code": "301652723",
"telephone_number": "706-291-8702",
"fax_number": "706-291-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "KENDALL",
"middle_name": "STUART",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "GA",
"license": "92954",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "AL",
"license": "MD.44534",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AL",
"license": "MD.44534",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35.138546",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "92954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003272587A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.