Active NPI
Kim Kathleen Kuebler, NP
- Nurse Practitioner
- Jesup, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 107885
- Practice address
- 936 S 1St St
Jesup, GA 31545-0332 - Phone
- (912) 427-3444
- NPI assigned
- Jul 7, 2009
- Last updated
- Oct 14, 2025
- 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 |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001397 | CT | MD | Occupational Therapy Assistant |
| 107885 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Community Health Services, Inc. | Current | Accepting new patients | |
| Care Medical Center LLC | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | 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 | Current | Accepting new patients | |
| Coastal Community Health Services Inc | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | 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
- 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.
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
-
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1609298751
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
-
- Chiropractor
- Waycross, GA
- NPI 1376236232
-
dba Coastal Community Health County Clinic
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1063282937
-
dba CHC Oncology
- Hematology & Oncology Physician
- Coldwater, MI
- NPI 1215964192
-
dba CHC Internal Medicine Group
- Internal Medicine Physician
- Coldwater, MI
- NPI 1306873286
-
dba CHC Cardinal Connect
- Pediatric Adolescent Medicine Physician
- Coldwater, MI
- NPI 1619304458
-
- Specialist
- Coldwater, MI
- NPI 1245213537
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356506026
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.