Individual provider Active NPI

Kearra Pettigrew, APRN, FNP

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1568987451
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN244776 Issued in GA
Practice address
5 Mall Anx
Savannah, GA 31406-4738
Phone
(912) 495-8887
NPI assigned
Aug 11, 2017
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN244776 GA Primary

Addresses

Primary practice location

5 Mall Anx
Savannah, GA 31406-4738

Mailing address

5 Mall Anx
Savannah, GA 31406-4738
Phone (912) 495-8887

Other names 1

  • Kearra McKinney Former name

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
I20181029000462 GA Practitioner - Nurse Practitioner 4486907029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2414 Bull St
Savannah, GA 31401-9113
Phone (912) 495-8887

5 Mall Anx
Savannah, GA 31406-4738
Phone (912) 495-6706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
J C Lewis Primary Health Care Center CurrentSince Jun 25, 2018 Accepting new patients
J.C. Lewis Primary Healthcare Center, Inc CurrentSince Jun 25, 2018 Accepting new patients

Locations

2414 Bull St
Savannah, GA 31401
Phone (912) 495-8887

5 Mall Anx
Savannah, GA 31406
Phone (912) 495-8887

Interoperability endpoints

  • Direct secure messaging: kearra.mckinney.1@23600.direct.athenahealth.com

Organizations & group practices 2

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1568987451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MALL ANX",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064738",
            "telephone_number": "912-495-8887",
            "fax_number": "912-495-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MALL ANX",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064738",
            "telephone_number": "912-495-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "KEARRA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN244776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEARRA",
            "last_name": "MCKINNEY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.