Individual provider Active NPI

Kevin Finnegan, NP

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1629630199
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN223906 Issued in GA
Practice address
630 13TH St
Augusta, GA 30901-1015
Phone
(706) 724-2500
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 RN223906 GA Primary

Addresses

Primary practice location

630 13TH St
Augusta, GA 30901-1015

Mailing address

PO Box 418427
Boston, MA 02241-8427
Phone (610) 644-8900

Other practice location 1

3623 J Dewey Gray Cir Ste 100
Augusta, GA 30909-6511
Phone (706) 854-9932

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
I20191218000386 GA Practitioner - Nurse Practitioner 0547694960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Radiology Associates, IIGroup PAC ID 1456345651, 15 clinicians

Practice addresses (Care Compare)

630 13TH St
Suite 250
Augusta, GA 30901-1017
Phone (706) 724-2500

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Radiology Associates, II CurrentSince Oct 14, 2019 Accepting new patients
Fresenius Vascular Care Augusta, LLC CurrentSince Oct 14, 2019 Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3623 J Dewey Gray Cir
Ste 100
Augusta, GA 30909
Phone (706) 651-6700

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

630 13th St
Augusta, GA 30901
Phone (706) 724-2481

630 13th St
Ste 250
Augusta, GA 30901
Phone (706) 724-2500

630 13th St
Ste 105
Augusta, GA 30901
Phone (706) 724-2500

Interoperability endpoints

  • Direct secure messaging: kevin.finnegan.p4@direct.aac.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kevin.finnegan.p212@direct.aac.nextgenshare.com

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 and National Provider Directory roles.

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1629630199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418427",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418427",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 13TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011015",
            "telephone_number": "706-724-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3623 J Dewey Gray Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096511",
            "country_code": "US",
            "telephone_number": "706-854-9932",
            "fax_number": "706-854-9304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "KEVIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.