Dylan Elijah Kemp

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

186 Mathews Ave
Athens, GA 30606-2952

Phone

(706) 207-7097

NPI assigned

Sep 22, 2021

Sex

Male

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dkemp2774624@direct.trinity-health.org
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Athens Clarke Medical Enterprises LLC

  • Emergency Medicine Physician
  • Athens, GA
  • NPI 1295370542
  Medicare reassignment NPD
• Urgent Care of Oconee, LLC

  • Multi-Specialty Clinic/Center
  • Watkinsville, GA
  • NPI 1760839500
  Medicare reassignment NPD
• Urgent Care of Oconee, LLC

  • Urgent Care Clinic/Center
  • Athens, GA
  • NPI 1093468951
  NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1669143319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MATHEWS AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062952",
            "telephone_number": "706-207-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MATHEWS AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062952",
            "telephone_number": "706-207-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "DYLAN",
        "middle_name": "ELIJAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Kelley, MD
• Sarah Kelley, APC
• Somerlin Chase Kellum
• Kevin Michael Kelly
• Shannon D Kelly, LPC
• Genevieve Ann Kempf, PTA
• Kendall P. Weinberg Counseling, LLC
• Allison Jade Kennamer, DC
• Nina G Kennedy, APRN, AGACNP-BC
• Sally Ann Kennedy, PH.D

• Physician Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.