Individual provider Active NPI

Kaylee Sue Rousey, FNP-C

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1902677529
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN260102 Issued in GA
Practice address
1061 Dowdy Rd Ste 101
Athens, GA 30606-5700
Phone
(706) 621-7575
Fax
(833) 305-0340
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 RN260102 GA Primary

Addresses

Primary practice location

1061 Dowdy Rd Ste 101
Athens, GA 30606-5700

Mailing address

1061 Dowdy Rd Ste 101
Athens, GA 30606-5700
Phone (706) 621-7575

Other identifiers 1

IdentifierTypeStateIssuer
1427184654OtherGAREDDY MEDICAL GROUP, LLC

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
I20250226001451 GA Practitioner - Nurse Practitioner 6103363510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reddy Medical Group LLCGroup PAC ID 3274554456, 9 clinicians

Practice addresses (Care Compare)

1061 Dowdy Rd
Athens, GA 30606-5700
Phone (706) 621-7575

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Medical Group LLC Family CurrentSince Jan 14, 2025 Accepting new patients
Reddy Urgent Care - Royston LLC CurrentSince Jan 14, 2025 Accepting new patients

Locations

1061 Dowdy Rd
Ste 101
Athens, GA 30606
Phone (706) 621-7555

1061 Dowdy Rd
Ste 100
Athens, GA 30606
Phone (706) 521-7575

132 Franklin Springs St
Ste A
Royston, GA 30662
Phone (706) 245-7371

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22260/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kaylee.rousey.1@22260.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1902677529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 DOWDY RD STE 101",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065700",
            "telephone_number": "706-621-7575",
            "fax_number": "833-305-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 DOWDY RD STE 101",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065700",
            "telephone_number": "706-621-7575",
            "fax_number": "833-305-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSEY",
        "first_name": "KAYLEE",
        "middle_name": "SUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN260102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REDDY MEDICAL GROUP, LLC",
            "identifier": "1427184654",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.