Glenda Jane Marie Kepler, PMHNP-BC

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

RN236684 Issued in GA

Practice address

2450 Vinson Hwy SE
Milledgeville, GA 31061-4881

Phone

(478) 445-4303

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central State Hospital

  • Psychiatric Hospital
  • Milledgeville, GA
  • NPI 1063946788
  NPD (past)

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1598310690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LITTLE RD",
            "city": "HADDOCK",
            "state": "GA",
            "postal_code": "310332437",
            "telephone_number": "478-501-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 VINSON HWY SE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614881",
            "telephone_number": "478-445-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPLER",
        "first_name": "GLENDA",
        "middle_name": "JANE MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "GA",
            "license": "RN236684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Monique Justice
• Alexander Kahrmann, DMD
• James C Kelly, M.D.
• Timothy Kelsey Jr., ED.S
• Sokar Sia Kendor, M.D.
• Kids First Pediatrics
• Mia Kilby, FNP
• Joseph H Kirven, PHARMD
• Ashley Janelle Knox, DPT
• Breanna Catilin Koonce, RN, BSN

• Forensic Psychiatry Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Forensic Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.