NPIMap

Individual provider Active NPI

Kent R. Nilsson, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Athens, GA
National Provider Identifier
1619965381
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
068459 Issued in GA
Practice address
1199 Prince Ave
MSB 2ND Floor
Athens, GA 30606-2797
Phone
(706) 475-1700
Fax
(706) 475-1790
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2005-00874 NC
Cardiovascular Disease Physician 207RC0000X 068459 GA
Clinical Cardiac Electrophysiology Physician 207RC0001X 068459 GA Primary

Addresses

Primary practice location

1199 Prince Ave
MSB 2ND Floor
Athens, GA 30606-2797

Mailing address

PO Box 161435
Atlanta, GA 30321-1435
Phone (706) 369-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121112000070 GA Practitioner - Cardiac ElectrophysiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6507884822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Johns Hopkins University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Athens Specialty Care LLCGroup PAC ID 8820349772, 116 clinicians

Practice addresses (Care Compare)

242 King Ave
Suite 210
Athens, GA 30606-2966
Phone (706) 475-1700

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Morgan Medical Center Hospital, Madison, GA, CCN 111304

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2005-00874NCMDInternal Medicine Physician
068459GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Piedmont Athens Specialty Care LLC Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients
Kimberly Walpert, M.D., LLC Past Accepting new patients
Athens Regional Specialty Services Cardiovascular Disease Past Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Internal Medicine Past Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1199 Prince Ave
Fl 2
Athens, GA 30606
Phone (706) 475-1870

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171

1075 S Main St
Ste 200
Madison, GA 30650
Phone (706) 342-3553

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1619965381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161435",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303211435",
            "telephone_number": "706-369-5440",
            "fax_number": "706-369-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "address_2": "MSB 2ND FLOOR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-475-1700",
            "fax_number": "706-475-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "KENT",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-00874",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "068459",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "068459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.