NPIMap

Individual provider Active NPI

Kimberly Van Ness Pritchett, FNP

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1881124071
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN223448 Issued in GA
Practice address
Central Georgia Pulmonary
840 Pine St Ste 780
Macon, GA 31201
Phone
(478) 744-2445
Fax
(478) 744-0906
NPI assigned
Jun 19, 2017
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN223448 GA Primary

Addresses

Primary practice location

Central Georgia Pulmonary
840 Pine St Ste 780
Macon, GA 31201

Mailing address

840 Pine St Ste 780
Macon, GA 31201
Phone (478) 744-2445

Other names 1

  • Ms. Kimberly Megan Van Ness Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822002226 GA Practitioner - Nurse Practitioner 7012289333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Georgia Pulmonary Associates, LLCGroup PAC ID 0648266015, 8 clinicians

Practice addresses (Care Compare)

458 Hemlock St
Suite 200
Macon, GA 31201-4200
Phone (478) 744-2445

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kimberly.vanness@cgpa.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1881124071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST STE 780",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-744-2445",
            "fax_number": "478-744-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL GEORGIA PULMONARY",
            "address_2": "840 PINE ST STE 780",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-744-2445",
            "fax_number": "478-744-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "KIMBERLY",
        "middle_name": "VAN NESS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "VAN NESS",
            "middle_name": "MEGAN",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.