Individual provider Active NPI

Kristi Baker Stewart, PA

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1770031239
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8216 Issued in GA
Practice address
2001 Peachtree Rd NE Ste 645
Atlanta, GA 30309-1476
Phone
(404) 605-2050
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3611 TN
Physician Assistant 363A00000X 8216 GA Primary

Addresses

Primary practice location

2001 Peachtree Rd NE Ste 645
Atlanta, GA 30309-1476

Mailing address

423 Medical Park Dr Ste 100
Lenoir City, TN 37772-5641
Phone (865) 271-6600

Other practice location 1

423 Medical Park Dr Ste 100
Lenoir City, TN 37772
Phone (865) 271-6600

Other practice location 2

423 Medical Park Dr Ste 100
Lenoir City, TN 37772
Phone (865) 271-6600

Other identifiers 1

IdentifierTypeStateIssuer
Q045232MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address baker.kristi@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181210002410 TN Practitioner - Physician Assistant 5799029229 Reassigns benefits to 1 organization
I20221117000505 GA Practitioner - Physician Assistant 5799029229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

1968 Peachtree NW Rd
Atlanta, GA 30309-1281
Phone (404) 605-5000

1968 Peachtree Rd NW
Atlanta, GA 30309-1281

1968 Peachtree Rd NW Atlanta
77 Building Suite 3110
Atlanta, GA 30309-1281
Phone (770) 605-4224

1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210

2001 Peachtree Rd NE
Atlanta, GA 30309-1476

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8216GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Nov 12, 2018 Accepting new patients
Covenant Medical Group, Inc. Physician Assistant CurrentSince Nov 12, 2018 Accepting new patients

Locations

Dept 888179
Knoxville, TN 37995

423 Medical Park Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 271-6600

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1770031239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MEDICAL PARK DR STE 100",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725641",
            "telephone_number": "865-271-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE STE 645",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091476",
            "telephone_number": "404-605-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 Medical Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "37772",
            "country_code": "US",
            "telephone_number": "865-271-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 Medical Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "37772",
            "country_code": "US",
            "telephone_number": "865-271-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KRISTI",
        "middle_name": "BAKER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3611",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045232",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "baker.kristi@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "423 Medical Park Dr Ste 100",
            "city": "Lenoir City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.