Individual provider Active NPI

Kendall Stuart Brewer, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rome, GA
National Provider Identifier
1457732992
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
92954 Issued in GA
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

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003272587AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012003962 GA Practitioner - Pathology 4880993344 Reassigns benefits to 1 organization

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
Southeastern Pathology, P.C.Group PAC ID 4183617988, 8 clinicians

Practice addresses (Care Compare)

311 W 8TH St NE
Rome, GA 30165-2723
Phone (706) 291-8702

Hospital & facility affiliations

  • Adventhealth Gordon Hospital, Calhoun, GA, CCN 110023
  • Adventhealth Murray Hospital, Chatsworth, GA, CCN 110050
  • Adventhealth Redmond Hospital, Rome, GA, CCN 110168
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
56.6
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.44534ALMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Pathology, P.C. Cytopathology CurrentSince Aug 1, 2022 Accepting new patients
Southeastern Pathology, P.C. Cytopathology CurrentSince Aug 1, 2022 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.