Active NPI
Patsy April Kilgore, DNP
- Pediatric Nurse Practitioner
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- GAA-NP001705
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | 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.
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
dba Augusta University Health West Wheeler
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.