Kenneth Lindsey Kiser, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN066436 Issued in GA

Practice address

2922 N Oak St Ste C
Valdosta, GA 31602-1885

Phone

(229) 262-6819

NPI assigned

Apr 11, 2016

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwell Ambulatory IncGroup PAC ID 9234566779, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095
• SGMC Health Hospital, Valdosta, GA, CCN 110122

Merit-based Incentive Payment System (MIPS)

Final score

91.26 of 100Reported as group

Quality

91.03

Promoting interoperability

100

Improvement activities

40

Cost

79.85

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20731/brand/1/csg/1/fhir/r4
• Direct secure messaging: kenneth.kiser.1@20731.direct.athenahealth.com

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.

• Southwell Ambulatory Inc

  dba Southwell Gastroenterology

  • Gastroenterology Physician
  • Valdosta, GA
  • NPI 1164069472
  Medicare reassignment Care Compare group NPD
• SGMP Southland LLC

  • Psychiatry Physician
  • Valdosta, GA
  • NPI 1447695085
  Medicare reassignment NPD
• Tift Regional Health System Inc

  dba Southwell Mobile Clinic

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1881203305
  Medicare reassignment NPD
• Choice Family Medicine, PC

  • Primary Care Clinic/Center
  • Valdosta, GA
  • NPI 1609087469
  NPD
• Southwell Ambulatory Inc

  • Multi-Specialty Clinic/Center
  • Tifton, GA
  • NPI 1306466206
  NPD
• Tift Regional Health System Inc

  dba WorkSmart Occupational Medicine

  • Clinic/Center
  • Tifton, GA
  • NPI 1003980996
  NPD
• Tift Regional Health System Inc

  dba Affinity Clinic

  • Pediatrics Physician
  • Tifton, GA
  • NPI 1366765166
  NPD
• Tift Regional Health System Inc

  dba Tift Regional Ophthalmology

  • Ophthalmology Physician
  • Tifton, GA
  • NPI 1790280857
  NPD
• Tift Regional Health System Inc

  dba South GA Surgical

  • Surgery Physician
  • Tifton, GA
  • NPI 1912315094
  NPD
• Southwell Ambulatory Inc

  dba Southwell Internal Medicine

  • Internal Medicine Physician
  • Valdosta, GA
  • NPI 1982296364
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation
• Tift Regional Health System Inc.

  dba Tift Regional Medical Center

  • General Acute Care Hospital
  • Tifton, GA
  • NPI 1962462226
  Care Compare affiliation

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1609230069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 SERENDIPITY TRL",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316323465",
            "telephone_number": "229-415-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 N OAK ST STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021885",
            "telephone_number": "229-262-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "KENNETH",
        "middle_name": "LINDSEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN066436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenneth.kiser.1@20731.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2922 N Oak St Ste C",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316021885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlin Ayres Kirby
• Tisha Caroline Kirby, MSPT
• Beverly J. Kirk, NP
• Stacie Kirkland
• Robert Glenn Kirtley, M.D.
• Rhea L Kisling, LPC
• Cheryl M Kitchel, CNM
• John Klimko Jr.
• Mikki Powell Knight, PHARM.D.
• Nyesia Knight, LCSW

• Primary Care Nurse Practitioner in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.