Individual provider Active NPI

Kristy Z Levarity-Conley, MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1760672281
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
063709 Issued in GA
Practice address
1175 Cascade Parkway
Kaiser Permente Cascade Medical Center
Atlanta, GA 30311
Phone
(404) 505-4006
Fax
(404) 294-6030
NPI assigned
Jul 31, 2007
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63709 GA
Family Medicine Physician 207Q00000X 063709 GA Primary

Addresses

Primary practice location

1175 Cascade Parkway
Kaiser Permente Cascade Medical Center
Atlanta, GA 30311

Mailing address

3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 504-5678

Other identifiers 1

IdentifierTypeStateIssuer
309447513EMedicaidGA

Other names 1

  • Kristy Z Levarity Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Carequality Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000318 GA Practitioner - Family Practice 6204021223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1821 Mount Zion Rd
Morrow, GA 30260-3015
Phone (470) 754-6380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063709GAMDFamily Medicine Physician
63709GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Oct 1, 2014 Accepting new patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Oct 10, 2016 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince Nov 11, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince Nov 11, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine Current Accepting new patients
Calmitude Direct Primary Care LLC Current Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1175 Cascade Pkwy SW
Atlanta, GA 30311
Phone (404) 505-4006

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360

8011 Mall Pkwy
Stonecrest, GA 30038
Phone (678) 323-7512

6435 Bells Ferry Rd
Ste 110
Woodstock, GA 30189
Phone (770) 928-0574

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1760672281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT ROAD, NE",
            "address_2": "NINE PIEDMONT CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "404-504-5678",
            "fax_number": "404-296-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CASCADE PARKWAY",
            "address_2": "KAISER PERMENTE CASCADE MEDICAL CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30311",
            "telephone_number": "404-505-4006",
            "fax_number": "404-294-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVARITY-CONLEY",
        "first_name": "KRISTY",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63709",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "063709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309447513E",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Carequality",
            "affiliation": "N",
            "endpointDescription": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8011 Mall Pkwy",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300382543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "LEVARITY",
            "middle_name": "Z",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.