Individual provider Active NPI

M. Kevin Turner, PH. D.

  • Clinical Psychologist
  • Augusta, GA
National Provider Identifier
1679623086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY001589 Issued in GA
Practice address
103 Rossmore PL
Augusta, GA 30909-5769
Phone
(706) 364-7165
Fax
(706) 869-7600
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY001589 GA Primary

Addresses

Primary practice location

103 Rossmore PL
Augusta, GA 30909-5769

Mailing address

103 Rossmore PL
Augusta, GA 30909-5769
Phone (706) 364-7165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000811 GA Practitioner - Clinical Psychologist 9335180868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Transitions of AugustaGroup PAC ID 0547201071, 2 clinicians

Practice addresses (Care Compare)

103 Rossmore PL
Augusta, GA 30909-5769

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1589GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions of Augusta Clinical CurrentSince Nov 29, 2004 Accepting new patients
Augusta University Past Accepting new patients

Locations

103 Rossmore Pl
Augusta, GA 30909
Phone (706) 364-7165

Organizations & group practices 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679623086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROSSMORE PL",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095769",
            "telephone_number": "706-364-7165",
            "fax_number": "706-869-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROSSMORE PL",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095769",
            "telephone_number": "706-364-7165",
            "fax_number": "706-869-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "M.",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.