Individual provider Active NPI

Kitty M Van Meter, NP

  • Family Nurse Practitioner
  • Camilla, GA
National Provider Identifier
1902005358
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN159427 Issued in GA
Practice address
138 E Broad St
Camilla, GA 31730-1809
Phone
(229) 351-4125
Fax
(229) 351-4106
NPI assigned
Jul 16, 2007
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 RN159427 GA Primary

Addresses

Primary practice location

138 E Broad St
Camilla, GA 31730-1809

Mailing address

138 E Broad St
Camilla, GA 31730-1809
Phone (229) 351-4125

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000381 GA Practitioner - Nurse Practitioner 3274620935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

138 E Broad St
Camilla, GA 31730-1809
Phone (229) 351-4125

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Dorminy Surgical Associates CurrentSince Aug 23, 2009 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 23, 2009 Accepting new patients
Camilla Medical Clinic CurrentSince Aug 1, 2020 Accepting new patients
Phoebe Putney Memorial Hospital, Inc. CurrentSince Nov 1, 2008 Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Current Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Nov 1, 2008 Accepting new patients
Centerwell Health Services USA, LLC PastSince Aug 1, 2020 Accepting new patients
Acs Primary Care Physicians - Southeast PC Past Accepting new patients

Locations

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

138 E Broad St
Camilla, GA 31730
Phone (229) 336-8833

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kbeasley@cmc-ga.direct.office.nextgen.com

Organizations & group practices 8

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 3

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1902005358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301809",
            "telephone_number": "229-351-4125",
            "fax_number": "229-351-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301809",
            "telephone_number": "229-351-4125",
            "fax_number": "229-351-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN METER",
        "first_name": "KITTY",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN159427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camilla, GA

Sources for this page

Verify at the official NPI Registry.