Individual provider Active NPI

Kim Kathleen Kuebler, NP

  • Nurse Practitioner
  • Jesup, GA
National Provider Identifier
1952530362
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
107885 Issued in GA
Practice address
936 S 1St St
Jesup, GA 31545-0332
Phone
(912) 427-3444
NPI assigned
Jul 7, 2009
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 107885 GA Primary

Addresses

Primary practice location

936 S 1St St
Jesup, GA 31545-0332

Mailing address

805 Gloucester St
Brunswick, GA 31520-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040511000478 GA Practitioner - Nurse Practitioner 8527057934 Reassigns benefits to 2 organizations
I20230510003062 MI Practitioner - Nurse Practitioner 8527057934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Care Medical Center LLCGroup PAC ID 6406807015, 28 clinicians

Practice addresses (Care Compare)

106 Shoppers Way
Brunswick, GA 31525-0511
Phone (912) 275-8208

2321 Pooler Pkwy
Suite 106 109
Pooler, GA 31322-4422
Phone (912) 303-7149

2804 N Oak St
Suite C
Valdosta, GA 31602-5913
Phone (229) 241-8925

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001397CTMDOccupational Therapy Assistant
107885GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Jan 28, 2026 Accepting new patients
Care Medical Center LLC CurrentSince Nov 1, 2023 Accepting new patients
Community Health Center of Branch County CurrentSince May 1, 2023 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Care Medical Center LLC CurrentSince Nov 1, 2023 Accepting new patients
Coastal Community Health Services Inc CurrentSince Jan 28, 2026 Accepting new patients
Community Health Center of Branch County CurrentSince May 1, 2023 Accepting new patients
Hourlife LLC Past Accepting new patients

Locations

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

936 S 1st St
Jesup, GA 31545
Phone (912) 427-3444

2321 Pooler Pkwy
Ste 106109
Pooler, GA 31322
Phone (912) 303-7149

2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925

1415 Alice St
Waycross, GA 31501
Phone (912) 282-2989

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1952530362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 GLOUCESTER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450332",
            "telephone_number": "912-427-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEBLER",
        "first_name": "KIM",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "107885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.