Active NPI
Elizabeth K Kilgore, NP
- Gerontology Nurse Practitioner
- Athens, GA
National Provider Identifier
1871556407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN057459NP
- Practice address
- 120 Hawthorne Park
Athens, GA 30606 - Phone
- (706) 353-5870
- Fax
- (706) 353-6629
- NPI assigned
- Apr 6, 2006
- Last updated
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN057459NP | GA | Primary |
Addresses
Primary practice location
120 Hawthorne Park
Athens, GA 30606
Mailing address
2727 Paces Ferry Rd SE Ste 1-1100
Atlanta, GA 30339-6151
Phone (706) 353-8700
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN057459NP | GA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Regional Physician Services | Current | Accepting new patients | |
| Hawthorne Medical Associates PC | Current | Accepting new patients |
Locations
120 Hawthorne Park
Athens, GA 30606
Phone (706) 353-8700
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1871556407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 PACES FERRY RD SE STE 1-1100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396151",
"telephone_number": "706-353-8700",
"fax_number": "706-353-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HAWTHORNE PARK",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-353-5870",
"fax_number": "706-353-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "ELIZABETH",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN057459NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.