Individual provider Active NPI

Kerstin Taylor Holt

  • Family Nurse Practitioner
  • Perry, GA
National Provider Identifier
1710777933
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP300175 Issued in GA
Practice address
277 Perry Pkwy Ste C
Perry, GA 31069-8428
Phone
(478) 988-6087
Fax
(478) 988-6092
NPI assigned
May 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP300175 GA Primary

Addresses

Primary practice location

277 Perry Pkwy Ste C
Perry, GA 31069-8428

Mailing address

277 Perry Pkwy Ste C
Perry, GA 31069-8428
Phone (478) 988-6087

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709000043 GA Practitioner - Nurse Practitioner 2062926405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP300175GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jun 26, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince Jun 26, 2025 Accepting new patients

Locations

6021 Watson Blvd
Byron, GA 31008
Phone (478) 956-5002

209 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 822-0054

277 Perry Pkwy
Ste C
Perry, GA 31069
Phone (478) 988-6087

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

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": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1710777933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PERRY PKWY STE C",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310698428",
            "telephone_number": "478-988-6087",
            "fax_number": "478-988-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PERRY PKWY STE C",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310698428",
            "telephone_number": "478-988-6087",
            "fax_number": "478-988-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "KERSTIN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP300175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.