Courtney Kane, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN270909 Issued in GA

Practice address

3866 Belfast Keller Rd
Richmond Hill, GA 31324-6863

Phone

(912) 910-2720

NPI assigned

Feb 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Josephs Candler Urgent Care Centers LLCGroup PAC ID 5092058016, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.kane@cchs.gadirect.net

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.

• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1922580133

  GA

  Medicare reassignment Care Compare group NPD
• Coastal Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1609298751

  GA

  Medicare reassignment NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Bluffton, SC
  • NPI 1902468697
  Care Compare group NPD
• Coastal Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1063282937
  NPD

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1558069757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3866 BELFAST KELLER RD",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246863",
            "telephone_number": "912-910-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 BELFAST KELLER RD",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246863",
            "telephone_number": "912-910-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "COURTNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN270909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Kallio-Crotteau
• Shelia M Kardeen Williams, FNP
• Duncan Frashure Katzenberger, RBT
• Stephanie B Keen, RN
• Brianna Keith, BCBA
• Angela Kellam

• All providers in Richmond Hill, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.
• 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.

Verify at the official NPI Registry.