Kendra Seagraves, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN176789 Issued in GA

Practice address

10055 Ford Avenue
3A
Richmond Hill, GA 31324

Phone

(912) 819-9601

Fax

(912) 819-9601

NPI assigned

Dec 10, 2014

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1962800771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E. 65TH STREET",
            "address_2": "SUITE 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 FORD AVENUE",
            "address_2": "3A",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "31324",
            "telephone_number": "912-819-9601",
            "fax_number": "912-819-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGRAVES",
        "first_name": "KENDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN176789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003158883D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Naomi Schwartz, PNP
• Jenilyn Schweitzer
• Jordan Sconyers
• Sea Steps Pediatric Therapy
• Liliana Genta Seabol, MD
• Jessica Christine Sehnert
• Keith Matthew Seibert, M.D.
• Rebecca Marshburn Sellers, M.D.
• Timothy Sellers
• Alexis V Shannon

• Family Nurse Practitioner in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.