Individual provider Active NPI

Kelly Bryant Sexton, WHNP-BC

  • Women's Health Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1629762059
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN172580 Issued in GA
Practice address
130 Byrd Way
Warner Robins, GA 31088-8937
Phone
(478) 922-9136
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN172580 GA Primary

Addresses

Primary practice location

130 Byrd Way
Warner Robins, GA 31088-8937

Mailing address

130 Byrd Way
Warner Robins, GA 31088-8937
Phone (478) 922-9136

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
I20240329002067 GA Practitioner - Nurse Practitioner 4385082148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women's Healthcare of Middle Ga, IncGroup PAC ID 8628063203, 20 clinicians

Practice addresses (Care Compare)

130 Byrd Way
Warner Robins, GA 31088-8937
Phone (478) 922-9136

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Healthcare of Middle Ga, Inc CurrentSince Jan 23, 2024 Accepting new patients
Guardian Medical Services, LLC PastSince Jun 11, 2023 Accepting new patients

Locations

1023 Keith Dr
Perry, GA 31069
Phone (478) 922-9136

130 Byrd Way
Warner Robins, GA 31088
Phone (478) 922-9136

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.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1629762059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BYRD WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888937",
            "telephone_number": "478-922-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BYRD WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888937",
            "telephone_number": "478-922-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "KELLY",
        "middle_name": "BRYANT",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-07-31",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN172580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.