Individual provider Active NPI

Katherine Collins, NP

  • Family Nurse Practitioner
  • Vidalia, GA
National Provider Identifier
1609374776
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN239466 Issued in GA
Practice address
101 Harris Industrial Blvd Ste C
Vidalia, GA 30474-8852
Phone
(912) 537-1014
Fax
(912) 537-1014
NPI assigned
Jan 24, 2018
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 RN239466 GA Primary

Addresses

Primary practice location

101 Harris Industrial Blvd Ste C
Vidalia, GA 30474-8852

Mailing address

101 Harris Industrial Blvd Ste C
Vidalia, GA 30474-8852
Phone (912) 537-1014

Other practice location 1

1707 Meadows Ln Ste A
Vidalia, GA 30474-7201
Phone (912) 537-1014

Other names 1

  • Katherine Hofmann 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
I20180802000426 GA Practitioner - Nurse Practitioner 8224386586 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
Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

Practice addresses (Care Compare)

101 Harris Industrial Blvd
Suite C
Vidalia, GA 30474-8852
Phone (912) 537-1014

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
76.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Regional Primary Care Corporation Current Accepting new patients
Meadows Multispecialty Associates, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

11 Johnson St
Hazlehurst, GA 31539
Phone (800) 367-0816

101 Harris Industrial Blvd
Vidalia, GA 30474
Phone (912) 277-2044

101 Harris Industrial Blvd
Ste C
Vidalia, GA 30474

1707 Meadows Ln
Ste A
Vidalia, GA 30474
Phone (912) 538-0003

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: katherine.collins@hca5.eclinicaldirectplus.com
  • Direct secure messaging: katherine.collins@srpcc.gadirect.net
  • Direct secure messaging: katherine.collins@vwc.gadirect.net

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1609374776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HARRIS INDUSTRIAL BLVD STE C",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748852",
            "telephone_number": "912-537-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HARRIS INDUSTRIAL BLVD STE C",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748852",
            "telephone_number": "912-537-1014",
            "fax_number": "912-537-1014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Meadows Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304747201",
            "country_code": "US",
            "telephone_number": "912-537-1014",
            "fax_number": "912-538-0979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HOFMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.