Kao, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

42378 Issued in GA

Legal business name

KAO, LLC

Practice address

1181 Langford Dr
BLD 100 Suite 101
Watkinsville, GA 30621

Phone

(706) 546-9838

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Kevin O'NealNPI 1740218072

Title

Owner/Member

Phone

(706) 614-6086

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin A Oneal, MD

  • Family Medicine Physician
  • Bogart, GA
  • NPI 1740218072
  Medicare reassignment NPD Authorized official
• Charles L Braucher, MD

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1629007216
  NPD
• Vandana N Setia, MD

  • Family Medicine Physician
  • Bogart, GA
  • NPI 1114958675
  NPD
• Keith W Zimmerman, MD

  • Family Medicine Physician
  • Watkinsville, GA
  • NPI 1932298775
  NPD

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1821583477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 LEXINGTON CT",
            "city": "BISHOP",
            "state": "GA",
            "postal_code": "306216223",
            "telephone_number": "706-614-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR",
            "address_2": "BLD 100 SUITE 101",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30621",
            "telephone_number": "706-546-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "706-614-6086"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "42378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Alexandra Juarez - Gonzalez
• Judy a. Bruckner, PH.D., P.C.
• Just Medical Inc
• JWWT Neuromonitoring, LLC
• Agnes Kakaire, NP
• Sumetha Kapsengchanh, RBT
• Karis Counseling
• Padmanaidu Karnam, MD
• Jennifer Kay-Williams, MA, CCC-SLP
• Katherine Keese, LAPC

• Primary Care Clinic/Center in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.