Kierra Bacon

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

PHCP011909 Issued in GA

Practice address

4786 High Oak Dr
Macon, GA 31210-5647

Phone

(478) 259-4394

Fax

(478) 259-3820

NPI assigned

Sep 22, 2023

Last updated

Sep 22, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Southern Hospitality at Home, Inc.

  • In Home Supportive Care Agency
  • Milledgeville, GA
  • NPI 1497443782

  Home Health Aide

  NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1982483616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4786 HIGH OAK DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105647",
            "telephone_number": "478-259-4394",
            "fax_number": "478-259-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4786 HIGH OAK DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105647",
            "telephone_number": "478-259-4394",
            "fax_number": "478-259-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "KIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "PHCP011909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arpan Kumar Bachhawat, M.D.
• Laura Dawn Bachman, MS PSYCOLOGY
• Back to the Basics Nursing Services, LLC
• Elizabeth Backus, M.S., CCC-SLP
• Christi Bacon, NP
• Baconsfield Homecare Equipment Inc (Chichesters Homecare)
• Vito John Bagnato, M.D.
• Kwasi Arthur Baidoo
• Cameron Mitchel Bailey
• Jordan Chante' Bailey

• Home Health Aide in Macon, GA
• Providers in Macon, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.