Individual provider Active NPI

Summer Elizabeth Kervin, FNP-C

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1467189258
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN314188 Issued in GA
Practice address
100 Jim Mason CT Ste a
Warner Robins, GA 31088-8965
Phone
(478) 474-2947
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X RN314188 GA
Family Nurse Practitioner 363LF0000X RN314188 GA Primary

Addresses

Primary practice location

100 Jim Mason CT Ste a
Warner Robins, GA 31088-8965

Mailing address

328 Waxmyrtle Way
Perry, GA 31069-9478
Phone (334) 945-0105

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
I20221116000302 GA Practitioner - Nurse Practitioner 8921476326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nexus Pain Center of Houston CountyGroup PAC ID 0648281519, 9 clinicians

Practice addresses (Care Compare)

100 Jim Mason CT
Suite a
Warner Robins, GA 31088-8965
Phone (478) 474-2947

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Merit-based Incentive Payment System (MIPS)

Final score
93.47 of 100Reported as group
Quality
95.79
Promoting interoperability
96
Improvement activities
40
Cost
85.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN314188GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Pain Center of Houston County CurrentSince Nov 7, 2022 Accepting new patients
Nexus Pain Center of Houston County CurrentSince Nov 7, 2022 Accepting new patients

Locations

230 Industrial Blvd
Ste B
Dublin, GA 31021
Phone (478) 474-2947

230 Sheraton Blvd
Ste A
Macon, GA 31210
Phone (478) 474-2947

201 Byrd Ct
Ste 400
Warner Robins, GA 31088
Phone (478) 971-4001

100 Jim Mason Ct
Warner Robins, GA 31088
Phone (478) 474-2947

100 Jim Mason Ct
Ste A
Warner Robins, GA 31088
Phone (478) 474-2947

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 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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1467189258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WAXMYRTLE WAY",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699478",
            "telephone_number": "334-945-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JIM MASON CT STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888965",
            "telephone_number": "478-474-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERVIN",
        "first_name": "SUMMER",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "RN314188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN314188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.