Kristina Lynn Kruse, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

83698 Issued in GA

Practice address

1043 Washington Rd
Thomson, GA 30824-8140

Phone

(706) 595-1461

Fax

(706) 597-9824

NPI assigned

Jun 12, 2018

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Kristina Lynn Blanton Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Primary Care PCGroup PAC ID 4385633247, 57 clinicians

Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians

Neighborhood Improvement Project, IncGroup PAC ID 7315851078, 68 clinicians

Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Csra Home Health Agency Columbia, Inc. Home health agency, Thomson, GA, CCN 117108
• Doctors Hospital Hospital, Augusta, GA, CCN 110177
• University McDuffie County Regional Medical Center Hospital, Thomson, GA, CCN 110111
• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristina.kruse.1@26418.direct.athenahealth.com

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.

• Center for Primary Care PC

  • Family Medicine Physician
  • Evans, GA
  • NPI 1316973472
  Medicare reassignment Care Compare group NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385
  Medicare reassignment Care Compare group
• Neighborhood Improvement Project Inc

  dba Medical Associates Plus

  • Primary Podiatric Medicine Podiatrist
  • Evans, GA
  • NPI 1124984224
  Medicare reassignment Care Compare group
• Georgialina Physical Therapy Associates LLC

  dba Athletico Physical Therapy

  • Physical Therapist
  • Augusta, GA
  • NPI 1679286934
  Care Compare group
• McDuffie Medical Associates, PC

  • Primary Care Clinic/Center
  • Thomson, GA
  • NPI 1710037080
  NPD (past)
• University Cardiology Associates LLC

  dba Augusta Heart Associates

  • Cardiovascular Disease Physician
  • Augusta, GA
  • NPI 1902198369
  NPD (past)

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

• Csra Home Health Agency-Columbia, Inc.

  • Home Health Agency
  • Thomson, GA
  • NPI 1265442784
  Care Compare affiliation
• Doctors Hospital of Augusta LLC

  dba Doctors Hospital (Augusta)

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation
• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation
• University McDuffie County Regional Medical Center, Inc.

  dba Piedmont McDuffie Hospital

  • General Acute Care Hospital
  • Thomson, GA
  • NPI 1982600540
  Care Compare affiliation

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1891288007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308248140",
            "telephone_number": "706-595-1461",
            "fax_number": "706-597-9824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Magnolia Way STE 102",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309099484",
            "country_code": "US",
            "telephone_number": "706-922-6699",
            "fax_number": "706-868-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "KRISTINA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "83698",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkruse@cpcfp.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "505 Mount Pleasant Rd",
            "city": "Thomson",
            "state": "GA",
            "country_code": "US",
            "postal_code": "308248140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "BLANTON",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Lawrence R. Klein, CRNA
• KM Mobile Lab Enterprises LLC
• Susan H Land, M.D.
• Jennifer Porter Lemay, M.D.
• James L Lemley, M.D.
• Robert K Lemley, M.D.
• Amy Leurinda, MD

• Family Medicine Physician in Thomson, GA
• Providers in Thomson, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.