Kimberlee Fletcher, NP
Individual provider Active NPI Nurse Practitioner · Valdosta, GA
NPI 1962944728 · NPPES record last updated Nov 10, 2016
Key facts
- NPI
- 1962944728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN115590 (GA)
- Practice address
- 2501 N Patterson St
Valdosta, GA 31602-1735 - Phone
- (229) 333-1000
- NPI assigned
- Nov 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Georgia Medical Center Inc
Practice addresses (Care Compare)
3018 N Patterson St
Valdosta, GA 31602-1711
Phone (229) 259-4160
Hospital & facility affiliations
- SGMC Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170119002809 | GA | Practitioner - Nurse Practitioner | 9234411653 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| South Georgia Medical Center Inc | Current |
Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current |
Accepting new patients | |
| South Georgia Medical Center Inc | Current |
Accepting new patients | |
| Apogee Medical Group Georgia | Current |
Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Current |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
3018 N Patterson St
Valdosta, GA 31602
Phone (229) 249-4121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN115590 | GA | Yes |
Addresses
Primary practice location
2501 N Patterson St
Valdosta, GA 31602-1735
Mailing address
15059 N Scottsdale Rd
Suite 600
Scottsdale, AZ 85254-2379
Phone (602) 778-3600
Other providers in Valdosta, GA
- Taylor Nicole Fiveash
- Jennifer L Flake
- Catherine Reese Fletcher
- Dewayne Fletcher
- Hunter Burton Fletcher
- Joyann Renee Flint
- Brandon Flood
- Sadonna Floure
- Christina Flournoy
- Jessica Leigh Flowers
All providers in Valdosta, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.