Kacie J. Swain, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005092 Issued in GA

Practice address

801 W Gordon St
ER Dept
Thomaston, GA 30286-3426

Phone

(706) 647-5981

NPI assigned

Aug 21, 2007

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 names 1

• Ms. Kacie L. Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Apollomd Group Services, LLC

  • Anesthesiology Physician
  • Griffin, GA
  • NPI 1568616860
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1952594236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W GORDON ST",
            "address_2": "ER DEPT",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863426",
            "telephone_number": "706-647-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "KACIE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACIE",
            "last_name": "JONES",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brantley Lynn Standard, NP-C
• Monica Renner Stone, M.D.
• Jessica Evans Strickland, FNP-C
• Afolake Sulola
• Lindsey W Sundeen, CNM/WHNP
• Rachael L Sweeney, NP-BC
• Sandra Tawfik
• The Hemlock Pain Center, LLC
• The Optical Shop of Thomaston LLC
• Thomas M. Kretzmer

• Physician Assistant in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.