NPIMap

Individual provider Active NPI

Nakeisha Anne Otto-Stewart, M.D.

  • Family Medicine Physician
  • Colquitt, GA
National Provider Identifier
1649620113
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81541 Issued in GA
Practice address
208 N Cuthbert St
Colquitt, GA 39837-3517
Phone
(229) 758-3304
Fax
(229) 758-6622
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 12

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hospital Authority of Miller County 30 clinicians

Practice addresses (Care Compare)

208 N Cuthbert St
Colquitt, GA 39837-3517
Phone (229) 758-4212

209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 758-4212

Hospital & facility affiliations

  • Miller Home Health Home health agency, Colquitt, GA, CCN 117801
  • Miller County Hospital Hospital, Colquitt, GA, CCN 111305
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
  • Miller Nursing Home Nursing home, Colquitt, GA, CCN 115039
  • Miller County Hospital Nursing home, CCN 11Z305

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
76.8
Promoting interoperability
100
Improvement activities
40
Cost
48.02

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20191028003065 GA Practitioner - Family Practice 0840565594 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN22892FLMDFamily Medicine Physician
81541GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital Authority of Miller County Current Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
The Hospital Authority of Miller County CurrentSince Jul 30, 2023 Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

208 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3304

Interoperability endpoints

  • Direct secure messaging: nakeishaottostewart@hamc.cernerdirect.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN22892 FL
Family Medicine Physician 207Q00000X 81541 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

208 N Cuthbert St
Colquitt, GA 39837-3517

Mailing address

PO Box 7
Colquitt, GA 39837-0007
Phone (229) 758-3304

Other practice location 1

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 431-5714

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2019.

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1649620113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398370007",
            "telephone_number": "229-758-3304",
            "fax_number": "229-758-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373517",
            "telephone_number": "229-758-3304",
            "fax_number": "229-758-6622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Hodges Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084614",
            "country_code": "US",
            "telephone_number": "850-431-5714",
            "fax_number": "850-431-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTO-STEWART",
        "first_name": "NAKEISHA",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN22892",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "81541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colquitt, GA

Sources for this page

Verify at the official NPI Registry.