Individual provider Active NPI

Kathryn West, FNP

  • Family Nurse Practitioner
  • Locust Grove, GA
National Provider Identifier
1508677022
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN270289 Issued in GA
Practice address
3366 Highway 42 S Ste 110
Locust Grove, GA 30248-3039
Phone
(770) 898-4339
NPI assigned
Jan 15, 2025
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN270289 GA Primary

Addresses

Primary practice location

3366 Highway 42 S Ste 110
Locust Grove, GA 30248-3039

Mailing address

3366 Highway 42 S Ste 110
Locust Grove, GA 30248-3039
Phone (770) 898-4339

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
I20250430002820 GA Practitioner - Nurse Practitioner 4789100967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

5040 Bill Gardner Pkwy
Suite 310
Locust Grove, GA 30248-3605
Phone (770) 898-4339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN270289GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Board of Health Current Accepting new patients
Macon-Bibb County Health Department Current Accepting new patients
Twiggs Department of Public Health Current Accepting new patients
Crawford County Health Department Current Accepting new patients
Houston County Health Department CurrentSince Mar 3, 2025 Accepting new patients
Houston County Health Department CurrentSince Mar 3, 2025 Accepting new patients
Jones County Health Department Current Accepting new patients
Piedmont Medical Care Corporation CurrentSince Nov 13, 2025 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

5040 Bill Gardner Pkwy
Ste 310
Locust Grove, GA 30248
Phone (770) 898-4339

180 Emery Hwy
Macon, GA 31217
Phone (478) 464-0612

3920 Arkwright Rd
Ste 415
Macon, GA 31210
Phone (478) 297-5190

Organizations & group practices 8

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1508677022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 HIGHWAY 42 S STE 110",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483039",
            "telephone_number": "770-898-4339",
            "fax_number": "770-898-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 HIGHWAY 42 S STE 110",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483039",
            "telephone_number": "770-898-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "KATHRYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN270289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

Verify at the official NPI Registry.