Individual provider Active NPI

Kristina Fain, DO

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1558865709
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84620 Issued in GA
Practice address
1107 E 66TH St
Savannah, GA 31404-5701
Phone
(912) 350-8404
NPI assigned
Mar 22, 2018
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 84620 GA Primary

Addresses

Primary practice location

1107 E 66TH St
Savannah, GA 31404-5701

Mailing address

805 Peachtree St NE
Ste a
Atlanta, GA 30308-6009
Phone (443) 393-3653

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001887 GA Practitioner - Family Practice 5395141006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

4605 Roswell Rd
Atlanta, GA 30342-3000
Phone (678) 509-7462

764 Memorial Dr SE
Suite 106
Atlanta, GA 30316-1573
Phone (770) 783-1414

805 Peachtree St NE
Suite a
Atlanta, GA 30308-6009
Phone (404) 551-4242

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC CurrentSince Jul 15, 2021 Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Allcare Ga PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

1000 Northside Dr NW
Ste 1300
Atlanta, GA 30318
Phone (470) 730-4646

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

764 Memorial Dr SE
Ste 106
Atlanta, GA 30316
Phone (770) 783-1414

4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

Interoperability endpoints

  • Direct secure messaging: kristina.fain.1@33029.direct.athenahealth.com

Organizations & group practices 3

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1558865709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 PEACHTREE ST NE",
            "address_2": "STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303086009",
            "telephone_number": "443-393-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045701",
            "telephone_number": "912-350-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIN",
        "first_name": "KRISTINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "84620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.