Individual provider Active NPI

Kimberly La'Sae Natson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Evans, GA
National Provider Identifier
1558970608
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN203133 Issued in GA
Practice address
4246 Washington Rd Ste 8
Evans, GA 30809-3345
Phone
(762) 218-5328
Fax
(631) 350-0321
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 215610 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN203133 GA Primary

Addresses

Primary practice location

4246 Washington Rd Ste 8
Evans, GA 30809-3345

Mailing address

112 Success CT
Statesboro, GA 30458-0914
Phone (706) 631-8016

Other practice location 1

3006 Richmond Hill Rd
Augusta, GA 30906-3311
Phone (912) 481-0080

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
I20210817002293 GA Practitioner - Nurse Practitioner 7315351590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4246 Washington Rd
Suite 8
Evans, GA 30809-3345
Phone (912) 481-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN203133GAMDPsychiatric/Mental Health Nurse Practitioner
215610LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Mentality Psychiatric/Mental Health CurrentSince Jan 31, 2021 Accepting new patients
Global Mentality Inc Psychiatric/Mental Health CurrentSince Feb 18, 2021 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Dec 16, 2024 Accepting new patients
One Telemed LLC Psychiatric/Mental Health PastSince Nov 1, 2020 Accepting new patients

Locations

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

3006 Richmond Hill Rd
Augusta, GA 30906
Phone (888) 422-0262

4246 Washington Rd
Ste 8
Evans, GA 30809
Phone (762) 218-5328

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1558970608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SUCCESS CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580914",
            "telephone_number": "706-631-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 WASHINGTON RD STE 8",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093345",
            "telephone_number": "762-218-5328",
            "fax_number": "631-350-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 Richmond Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309063311",
            "country_code": "US",
            "telephone_number": "912-481-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATSON",
        "first_name": "KIMBERLY",
        "middle_name": "LA'SAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "215610",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN203133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.