Georgia Lee Ketchum, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME120147 Issued in FL

Practice address

2191 E Johnson Ave
Inpatient Psychiatry
Pensacola, FL 32514-6029

Phone

(850) 494-3953

Fax

(850) 494-3960

NPI assigned

May 27, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

University of Tennessee, HSC, College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Florida Behavioral Health IncGroup PAC ID 9537126222, 16 clinicians

Seth a Eappen MD PLLCGroup PAC ID 6002184264, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: georgia.ketchum@hca5.eclinicaldirectplus.com

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.

• West Florida Behavioral Health Inc

  • Geriatric Psychiatry Physician
  • Pensacola, FL
  • NPI 1457336604
  Medicare reassignment Care Compare group NPD
• Seth a. Eappen, MD PLLC

  • Child & Adolescent Psychiatry Physician
  • Oak Brook, IL
  • NPI 1639610553
  Medicare reassignment Care Compare group NPD
• West Florida Regional Medical Center, Inc.

  dba HCA Florida West Hospital

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726
  NPD (past)

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

• West Florida Regional Medical Center, Inc.

  dba HCA Florida West Hospital

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726
  Care Compare affiliation

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1659690881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 E JOHNSON AVE",
            "address_2": "INPATIENT PSYCHIATRY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146029",
            "telephone_number": "850-494-3953",
            "fax_number": "850-494-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 E JOHNSON AVE",
            "address_2": "INPATIENT PSYCHIATRY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146029",
            "telephone_number": "850-494-3953",
            "fax_number": "850-494-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "GEORGIA",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME120147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Joyce Keremes
• Donna Sue Kern, OCCUPATIONAL THERAPI
• Jill Kerr
• Kellie Ann Kerr, RN, PMHNP
• Roman Kesler, DO
• Michael J Kettenring, CRNA
• Chappell Kettleman, LMT, MA81984
• Kevin C. Dean, DMD PA
• Kevin P Parekh
• Catherine Kew

• Psychiatry Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.