Individual provider Active NPI

Kelsey Berkner, NP-C

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1730725276
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN254526 Issued in GA
Practice address
1480 Baxter St Ste a
Athens, GA 30606-6393
Phone
(706) 543-0228
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 RN254526 GA Primary

Addresses

Primary practice location

1480 Baxter St Ste a
Athens, GA 30606-6393

Mailing address

132 Wilder Dr
Forsyth, GA 31029-2910
Phone (478) 550-4059

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
I20200124000996 GA Practitioner - Nurse Practitioner 2365877123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restor Diabetes Care LLCGroup PAC ID 7911362363, 3 clinicians
Restorathens, LLCGroup PAC ID 2961800719, 4 clinicians

Practice addresses (Care Compare)

300 Parkbrooke PL
Suite 150
Woodstock, GA 30189-7280
Phone (678) 426-8311

394 S Milledge Ave
Athens, GA 30605-5626
Phone (706) 395-6451

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN254526GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Dec 26, 2019 Accepting new patients
Restorathens, LLC CurrentSince Jan 4, 2024 Accepting new patients
Restor Diabetes Care LLC CurrentSince Jan 4, 2024 Accepting new patients
Smartcare, LLC PastSince Nov 24, 2019 Accepting new patients

Locations

1480 Baxter St
Ste A
Athens, GA 30606
Phone (706) 543-0228

394 S Milledge Ave
Athens, GA 30605
Phone (470) 767-0443

3425 Buford Dr
Ste 200
Buford, GA 30519
Phone (678) 546-0200

2151 Homer Rd
Ste 130
Commerce, GA 30529
Phone (678) 426-8311

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

300 Parkbrooke Pl
Ste 150
Woodstock, GA 30189
Phone (678) 426-8311

Organizations & group practices 4

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1730725276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WILDER DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292910",
            "telephone_number": "478-550-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 BAXTER ST STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066393",
            "telephone_number": "706-543-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKNER",
        "first_name": "KELSEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN254526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.