Individual provider Active NPI

Patsy April Kilgore, DNP

  • Pediatric Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1477332526
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
GAA-NP001705 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-0012
Phone
(706) 721-8623
Fax
(706) 721-2643
NPI assigned
Sep 27, 2023
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X GAA-NP001705 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0012

Mailing address

1120 15TH St # Or6000
Augusta, GA 30912-0004
Phone (706) 721-3813

Other practice location 1

810 13th Ave Ste 108
Albany, GA 31701-1333
Phone (706) 721-8623

Other practice location 2

206 S Patterson St
Valdosta, GA 31601-5668
Phone (706) 721-8623

Other practice location 3

1123 Church St
Waycross, GA 31501-3525
Phone (706) 721-8623

Other practice location 4

1446 Harper St
Augusta, GA 30912-0012
Phone (706) 721-5437

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
I20231208002495 GA Practitioner - Nurse Practitioner 6608225198 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Nov 29, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Au Medical Associates Inc CurrentSince Nov 29, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

810 13th Ave
Ste 108
Albany, GA 31701
Phone (229) 432-8484

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

1446 Harper St
Augusta, GA 30912
Phone (706) 721-5223

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

206 S Patterson St
Valdosta, GA 31601
Phone (229) 245-6565

1123 Church St
Waycross, GA 31501
Phone (706) 721-1794

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1477332526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # OR6000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-3813",
            "fax_number": "706-721-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120012",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-2643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 13th Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011333",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-2643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 S Patterson St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316015668",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-2643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1123 Church St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315013525",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-2643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1446 Harper St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120012",
            "country_code": "US",
            "telephone_number": "706-721-5437",
            "fax_number": "706-721-2643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "PATSY",
        "middle_name": "APRIL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "GAA-NP001705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.