Individual provider Active NPI

Kate Moore Durkee, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1609277664
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN116991 Issued in GA
Practice address
5569 Houston Rd
Macon, GA 31216-5709
Phone
(478) 781-5065
Fax
(478) 781-0012
NPI assigned
Sep 9, 2014
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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 RN116991 GA Primary

Addresses

Primary practice location

5569 Houston Rd
Macon, GA 31216-5709

Mailing address

5569 Houston Rd
Macon, GA 31216-5709
Phone (478) 781-5065

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
I20160815001320 GA Practitioner - Nurse Practitioner 6507150596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutland Family Healthcare LLCGroup PAC ID 0244286151, 2 clinicians

Practice addresses (Care Compare)

5569 Houston Rd
Macon, GA 31216-5709
Phone (478) 781-5065

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutland Family Healthcare LLC CurrentSince May 31, 2016 Accepting new patients
Physicians Care Center LLC Past Accepting new patients

Locations

4226 Hartley Bridge Rd
Ste 104
Macon, GA 31216
Phone (478) 781-5065

5569 Houston Rd
Macon, GA 31216
Phone (478) 781-5065

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1609277664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5569 HOUSTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165709",
            "telephone_number": "478-781-5065",
            "fax_number": "478-781-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5569 HOUSTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165709",
            "telephone_number": "478-781-5065",
            "fax_number": "478-781-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKEE",
        "first_name": "KATE",
        "middle_name": "MOORE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN116991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.