Active NPI
Keshia Kirtz, LMSW
- Social Worker
- Fayetteville, GA
National Provider Identifier
1740635374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW012847
- Practice address
- 729 S Jeff Davis Dr
Fayetteville, GA 30215-2416 - Phone
- (943) 237-2892
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW012847 | GA | Primary |
Addresses
Primary practice location
729 S Jeff Davis Dr
Fayetteville, GA 30215-2416
Mailing address
805 Glynn St S Ste 127
PMB #196
Fayetteville, GA 30214-2077
Phone (943) 237-2892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW012847 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irie Community Living LLC | Current | Accepting new patients |
Locations
805 Glynn St S
Ste 127
Fayetteville, GA 30214
Phone (404) 406-6307
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Day Training/Habilitation Specialist
- Fayetteville, GA
- NPI 1922967017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768694400000",
"number": "1740635374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 GLYNN ST S STE 127",
"address_2": "PMB #196",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142077",
"telephone_number": "943-237-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 S JEFF DAVIS DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302152416",
"telephone_number": "943-237-2892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRTZ",
"first_name": "KESHIA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2026-01-18",
"certification_date": "2026-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW012847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
- Amanda C. Kinley, PT
- Jaquavious Kinsey, RBT
- Meghan Kirby, PA-C
- Mackenzie Anna Kirchner, PA
- Linda S Kirkman, NP
- Dale A Klauss, LDO
- Aubry Ireland Kochera, RN, FNP-C
- Kokua Community Services LLC (Synergy HomeCare of Fayetteville Ga LLC)
- Kompass Transit Services LLC (Kompass Transit)
- Jason David Kranenburg, CSFA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.