Active NPI
Star Smith Kepner
- Certified Registered Nurse Anesthetist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN160538
- Practice address
- 1984 Peachtree Rd NW
Atlanta, GA 30309-5219 - Phone
- (404) 351-1745
- NPI assigned
- Oct 30, 2008
- Last updated
- Jun 8, 2020
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN160538 | GA | Primary |
Addresses
Primary practice location
1984 Peachtree Rd NW
Atlanta, GA 30309-5219
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.17 of 100
- Quality
- 74.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.72 of 100
- Quality
- 77.67
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPM Surgery Center 2, LLC | Current | Accepting new patients | |
| Mulkey Anesthesiology Associates LLC | Current | Accepting new patients | |
| Interventional Spine and Pain Management Ambulatory Surgical Center | Current | Accepting new patients | |
| Tri-County Anesthesia, LLC | Past | Accepting new patients | |
| Northside Cherokee Anesthesia Consultants, PC | Past | Accepting new patients | |
| Priority Anesthesia, LLC | Past | Accepting new patients | |
| Atlanta Sports Medicine Surgery Center | Past | Accepting new patients |
Locations
3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501
3870 Medical Park Dr
Austell, GA 30106
Phone (770) 732-3649
3870 Medical Park Dr
Ste 100
Austell, GA 30106
1388 Wellbrook Cir NE
Ste 1500
Conyers, GA 30012
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Austell, GA
- NPI 1417288069
-
- Ambulatory Surgical Clinic/Center
- Dallas, GA
- NPI 1124277959
-
- Ambulatory Surgical Clinic/Center
- Conyers, GA
- NPI 1750420147
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1225179716
-
- Anesthesiology Physician
- Canton, GA
- NPI 1144299629
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1194918979
-
- Anesthesiology Physician
- Douglasville, GA
- NPI 1073687422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1932352291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CONCORD TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232843",
"telephone_number": "800-243-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1984 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303095219",
"telephone_number": "404-351-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPNER",
"first_name": "STAR",
"middle_name": "SMITH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN160538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.