Active NPI
Kathryn Page, M.D.
- Pediatrics Physician
- Milledgeville, GA
National Provider Identifier
1568545473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 019516
- Practice address
- 2938 Heritage PL NE Ste a
Milledgeville, GA 31061-7209 - Phone
- (478) 453-0453
- Fax
- (478) 452-2698
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 019516 | GA | Primary |
Addresses
Primary practice location
2938 Heritage PL NE Ste a
Milledgeville, GA 31061-7209
Mailing address
2938 Heritage PL NE Ste a
Milledgeville, GA 31061-7209
Phone (478) 453-0453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000262996H | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019516 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neocare of Central Georgia, PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- kathryn.page@gadirect.net
Organizations & group practices 1
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.
-
dba Family Care of Middle Georgia
- Family Medicine Physician
- Macon, GA
- NPI 1053627703
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1568545473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2938 HERITAGE PL NE STE A",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310617209",
"telephone_number": "478-453-0453",
"fax_number": "478-452-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2938 HERITAGE PL NE STE A",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310617209",
"telephone_number": "478-453-0453",
"fax_number": "478-452-2698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "019516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000262996H",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.