Kimberly Christina Biscan, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN250388 Issued in GA

Practice address

1743 Watson Blvd
Warner Robins, GA 31093-3622

Phone

(478) 929-2909

NPI assigned

Oct 6, 2021

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Primary Care & Geriatrics Associates of Central Georgia, L.L.C

  • Geriatric Medicine (Internal Medicine) Physician
  • Warner Robins, GA
  • NPI 1568087021
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1922760131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933622",
            "telephone_number": "478-929-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933622",
            "telephone_number": "478-929-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCAN",
        "first_name": "KIMBERLY",
        "middle_name": "CHRISTINA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN250388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206293430",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G206293430",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bilbro Corporation (Medicine Shoppe)
• Earl Billingsley
• Maya S Billingsley
• Bio-Medical Applications of Georgia, Inc. (FMC Dialysis Services of Houston County)
• Bio-Medical Applications of Georgia, Inc. (Bma of Warner Robins)
• Jocelyn Bishop
• Hussam Bitar, M.D.
• Elizabeth Ann Bizzell, LMFT
• Nicole P Bizzell, NP-C
• Jennifer Lee Black, APN

• Primary Care Nurse Practitioner in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.