Amy Kozody

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN084817 Issued in GA

Practice address

367 Richardson Rd SE
Calhoun, GA 30701-3619

Phone

(762) 204-2451

NPI assigned

Mar 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crossroads Treatment Center of Calhoun, PC

  • Methadone Clinic
  • Calhoun, GA
  • NPI 1932626892
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1639673288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEATTIE PL STE 810",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 RICHARDSON RD SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013619",
            "telephone_number": "762-204-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZODY",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN084817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Kline, M.D.
• Katherine Bailey Knight
• Gerald P Korey, PHARMACIST
• Herbert E Kosmahl, D.P.M.
• Jeffrey John Kovacic, MD
• Chase Kranzlein
• Shireen K Ku, D.D.S.
• Carrie Ann Kuhlman, NP-C
• Jodi Kuhlman, MD
• Kailash Pradip Kulkarni, M.D.

• All providers in Calhoun, GA
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.