Active NPI
Kevin Kane, DO
- Orthopaedic Foot and Ankle Surgery Physician
- Buford, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 100191
- Practice address
- 4445 S Lee St Ste 305
Buford, GA 30518-8808 - Phone
- (770) 848-6190
- NPI assigned
- May 22, 2019
- Last updated
- Aug 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5151013435 | MI | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 100191 | GA | Primary |
Addresses
Primary practice location
4445 S Lee St Ste 305
Buford, GA 30518-8808
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
21 Ortho Ln
Atlanta, GA 30329-2315
Phone (404) 778-3350
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810
1404 River PL
Suite 401
Braselton, GA 30517-5600
Phone (770) 848-6190
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100191 | GA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1404 River Pl
Ste 401
Braselton, GA 30517
4445 S Lee St
Ste 305
Buford, GA 30518
3625 Braselton Hwy
Ste 203
Dacula, GA 30019
Phone (770) 658-2081
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Interoperability endpoints
- kkane914458@direct.emory.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
dba Athletico Physical Therapy
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1528625837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 S LEE ST STE 305",
"city": "BUFORD",
"state": "GA",
"postal_code": "305188808",
"telephone_number": "770-848-6190"
}
],
"practiceLocations": [
{
"address_1": "21 Ortho Ln",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303292315",
"country_code": "US",
"telephone_number": "404-778-3350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANE",
"first_name": "KEVIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-22",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5151013435",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "GA",
"license": "100191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.