Active NPI
Patricia Sue Kipper, AA-C
- Anesthesiologist Assistant
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 2013-018220
- Practice address
- 745 Poplar Rd
Newnan, GA 30265-1618 - Phone
- (770) 400-1000
- NPI assigned
- Jun 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 2013-018220 | MO | Primary |
Addresses
Primary practice location
745 Poplar Rd
Newnan, GA 30265-1618
Mailing address
PO Box 5
Hazelwood, MO 63042-0005
Phone (314) 895-3828
Other practice location 1
10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (314) 895-3828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Hwy 54 W
Fayetteville, GA 30214
Phone (770) 719-7000
Hospital & facility affiliations
- Piedmont Fayette Hospital
- Piedmont Henry Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-018220 | MO | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Professional Anesthetic Care Inc | Current | Accepting new patients | |
| Piedmont Anesthesia Associates, L.L.C | Current | Accepting new patients | |
| Ozark Anesthesia Associates, Inc. | Current | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
1000 E Primrose St
Ste 520
Springfield, MO 65807
Phone (417) 269-4557
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1407856594
-
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
-
- Anesthesiology Physician
- Springfield, MO
- NPI 1831109586
-
- Anesthesiology Physician
- Liberty, MO
- NPI 1922053461
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1922447002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630420005",
"telephone_number": "314-895-3828",
"fax_number": "314-895-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 POPLAR RD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651618",
"telephone_number": "770-400-1000"
}
],
"practiceLocations": [
{
"address_1": "10 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633761659",
"country_code": "US",
"telephone_number": "314-895-3828",
"fax_number": "314-895-3827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIPPER",
"first_name": "PATRICIA",
"middle_name": "SUE",
"credential": "AA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-21",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "MO",
"license": "2013-018220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.