Individual provider Active NPI

Kimberly Cawthon, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Hartwell, GA
National Provider Identifier
1992466122
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01220312 Issued in GA
Practice address
77 W Gibson St
Hartwell, GA 30643-1845
Phone
(706) 856-6973
NPI assigned
Jan 10, 2022
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01220312 GA Primary

Addresses

Primary practice location

77 W Gibson St
Hartwell, GA 30643-1845

Mailing address

77 W Gibson St
Hartwell, GA 30643-1845
Phone (706) 856-6973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204001084 GA Practitioner - Nurse Practitioner 0648663138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sreeroopsen M.D. LLCGroup PAC ID 0547346439, 4 clinicians

Practice addresses (Care Compare)

77 W Gibson St
Hartwell, GA 30643-1845
Phone (706) 856-6973

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01220312GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sreeroopsen M.D. LLC CurrentSince Jan 13, 2022 Accepting new patients

Locations

77 W Gibson St
Hartwell, GA 30643
Phone (706) 856-6973

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1992466122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W GIBSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431845",
            "telephone_number": "706-856-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W GIBSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431845",
            "telephone_number": "706-856-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAWTHON",
        "first_name": "KIMBERLY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F01220312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

Verify at the official NPI Registry.