Active NPI
Kyewonsa Kearse
- Social Worker
- Americus, GA
National Provider Identifier
1831632124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 415 N Jackson St
Americus, GA 31709-3015 - Phone
- (229) 931-2470
- NPI assigned
- Nov 18, 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 | Primary |
Addresses
Primary practice location
415 N Jackson St
Americus, GA 31709-3015
Mailing address
PO Box 1348
Americus, GA 31709-1348
Phone (229) 931-2470
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1831632124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1348",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317091348",
"telephone_number": "229-931-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N JACKSON ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093015",
"telephone_number": "229-931-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARSE",
"first_name": "KYEWONSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.