Individual provider Active NPI

Kristin Mason, PA

  • Surgical Physician Assistant
  • Columbus, GA
National Provider Identifier
1669718094
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
6673 Issued in GA
Practice address
6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone
(706) 494-3406
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 6673 GA Primary

Addresses

Primary practice location

6262 Veterans Pkwy
Columbus, GA 31909-3540

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other practice location 1

161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090

Other practice location 2

4340 Kings Way
Valdosta, GA 31602-6921
Phone (229) 333-9736

Other practice location 3

512 N Shady Ln
Dothan, AL 36303-2991
Phone (334) 699-5747

Other practice location 4

100 N Macon St
Macon, GA 31210-6563
Phone (478) 200-6970

Other names 1

  • Kristin McLeod Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130131000526 GA Practitioner - Physician Assistant 3173777935 Reassigns benefits to 2 organizations
I20130206000364 AL Practitioner - Physician Assistant 3173777935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Un of California, Riverside, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Medical Group IncGroup PAC ID 2769536143, 120 clinicians

Practice addresses (Care Compare)

690 Dallas Hwy
Villa Rica, GA 30180-1263

690 Dallas Hwy 207a
Villa Rica, GA 30180-1263
Phone (770) 456-3646

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, P.C. CurrentSince Dec 9, 2012 Accepting new patients
Hughston Clinic, PC CurrentSince Dec 9, 2012 Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

512 N Shady Ln
Dothan, AL 36303
Phone (334) 669-5747

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2000 10th Ave
Ste 270
Columbus, GA 31901
Phone (706) 571-1011

6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434

910 N 5th St
Ste F
Cordele, GA 31015
Phone (229) 276-0107

107 Calumet Center Rd
Lagrange, GA 30241
Phone (706) 884-3274

631 Professional Dr
Ste 170
Lawrenceville, GA 30046
Phone (678) 312-2663

117 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 420-1839

100 N Macon St
Macon, GA 31210
Phone (478) 200-6970

207 31st Ave SE
Moultrie, GA 31768
Phone (229) 217-0088

1825 Highway 34 E
Ste 2100
Newnan, GA 30265
Phone (706) 884-3274

522 N Center St
Thomaston, GA 30286
Phone (706) 646-4371

202 S Madison St
Thomasville, GA 31792
Phone (229) 226-1035

4340 Kings Way
Valdosta, GA 31602
Phone (229) 333-9736

1811 Manning Dr
Vidalia, GA 30474
Phone (912) 535-2554

Organizations & group practices 3

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": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1669718094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-494-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 E University Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368325889",
            "country_code": "US",
            "telephone_number": "334-826-2090",
            "fax_number": "334-821-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4340 Kings Way",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316026921",
            "country_code": "US",
            "telephone_number": "229-333-9736",
            "fax_number": "229-333-0225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 N Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363032991",
            "country_code": "US",
            "telephone_number": "334-699-5747",
            "fax_number": "334-699-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Macon St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312106563",
            "country_code": "US",
            "telephone_number": "478-200-6970",
            "fax_number": "478-216-5976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "KRISTIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "6673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MCLEOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.