Nathan Paul Kersey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4833 Issued in GA

Practice address

1174 Screamer Rd
Lynnville, TN 38472-8153

Phone

(619) 456-2290

NPI assigned

May 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, ND, MN3 enrollments

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 3

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glacial Ridge Hospital District 69 clinicians

Complete Care, P.C. 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glacial Ridge Hospital Hospital, Glenwood, MN, CCN 241376
• Hardin Medical Center Hospital, Savannah, TN, CCN 440109
• Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Care, P.C.

  • Internal Medicine Physician
  • Savannah, TN
  • NPI 1790989259

  TN

  Medicare reassignment Care Compare group
• Glacial Ridge Hospital District

  • Family Medicine Physician
  • Brooten, MN
  • NPI 1255348223

  MN

  Medicare reassignment Care Compare group
• Lisbon Area Health Services

  • Clinic/Center
  • Lisbon, ND
  • NPI 1811168958

  ND

  Medicare reassignment NPD
• Glacial Ridge Hospital District

  • Rural Health Clinic/Center
  • Starbuck, MN
  • NPI 1063952026
  Care Compare group NPD
• Glacial Ridge Hospital District

  • Critical Access Hospital
  • Glenwood, MN
  • NPI 1538178520
  Care Compare group NPD
• Mercy Hospital of Valley City

  • Critical Access Hospital
  • Valley City, ND
  • NPI 1477549111

  ND

  Medicare reassignment
• West River Health Services

  • Critical Access Hospital Clinic/Center
  • Hettinger, ND
  • NPI 1174606271

  ND

  Medicare reassignment
• Glacial Ridge Hospital District

  • Community Based Hospice Care Agency
  • Glenwood, MN
  • NPI 1134134877
  Care Compare group
• Glacial Ridge Hospital District

  • Family Medicine Physician
  • Glenwood, MN
  • NPI 1649285172
  Care Compare group
• Glacial Ridge Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Glenwood, MN
  • NPI 1649319146
  Care Compare group
• Glacial Ridge Hospital District

  • Home Health Agency
  • Glenwood, MN
  • NPI 1922017052
  Care Compare group
• Glacial Ridge Hospital District

  • Optometrist
  • Glenwood, MN
  • NPI 1306206446
  NPD

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

• Hardin County General Hospital

  • General Acute Care Hospital
  • Savannah, TN
  • NPI 1699754812

  Hospital

  Care Compare affiliation
• Glacial Ridge Hospital District

  • Critical Access Hospital
  • Glenwood, MN
  • NPI 1538178520

  Hospital

  Care Compare affiliation
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1922216142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 SCREAMER RD",
            "city": "LYNNVILLE",
            "state": "TN",
            "postal_code": "384728153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 SCREAMER RD",
            "city": "LYNNVILLE",
            "state": "TN",
            "postal_code": "384728153",
            "telephone_number": "619-456-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSEY",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "4833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Anderson
• Nicole Verlie Barrie, CNA
• Kendra Briggs
• Whitney Shaney Howard
• Kimberly Hull
• L;Ynnville Family Medical Clinic
• Elizabeth Marie Louie, M.D.
• Nicole Meadows
• Melissa Kay Pennington, FNP-C
• Savannah Renee Plunk

• All providers in Lynnville, TN
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.