Individual provider Active NPI

Amy D Kingman, M.D.

  • Cardiovascular Disease Physician
  • Macon, GA
National Provider Identifier
1992749659
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
002870 Issued in GA
Practice address
6010 Lakeside Commons Dr
Macon, GA 31210-5779
Phone
(478) 200-8152
NPI assigned
Jun 15, 2006
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 002870 GA Primary

Addresses

Primary practice location

6010 Lakeside Commons Dr
Macon, GA 31210-5779

Mailing address

682 Hemlock St
Suite 490
Macon, GA 31201-8307
Phone (478) 741-1208

Other practice location 1

682 Hemlock St
Suite 490
Macon, GA 31201-8307
Phone (478) 741-1208

Other identifiers 1

IdentifierTypeStateIssuer
936764307AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061109000325 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6901803790 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Maryland School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Heart Center, PCGroup PAC ID 0446248736, 27 clinicians
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1000 Hillcrest Pkwy
Dublin, GA 31021-4208
Phone (478) 741-1208

1062 Forsyth St
Suite 1B
Macon, GA 31201-8638
Phone (478) 621-7501

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

304 Margie Dr
Warner Robins, GA 31088-7817
Phone (478) 741-1208

310 Hospital Dr
Suite 330
Macon, GA 31217-3895
Phone (478) 220-8152

750 N Cobb St
Suite 130
Milledgeville, GA 31061-7168
Phone (478) 741-1208

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002870GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc Cardiovascular Disease CurrentSince Aug 1, 2006 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Apr 15, 2026 Accepting new patients
Central Georgia Heart Center, PC CurrentSince May 1, 2003 Accepting new patients
Central Georgia Heart Center, PC Cardiovascular Disease CurrentSince May 1, 2003 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

104 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-1366

120 N Lee St
Ste C
Forsyth, GA 31029
Phone (478) 633-1821

1062 Forsyth St
Ste 10
Macon, GA 31201

1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (912) 743-7068

310 Hospital Dr
Ste 330
Macon, GA 31217
Phone (478) 200-8152

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

682 Hemlock St
Ste 490
Macon, GA 31201

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024

750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

304 Margie Dr
Warner Robins, GA 31088
Phone (478) 333-2965

Interoperability endpoints

  • Direct secure messaging: amy.kingman@cghc.eclinicaldirectplus.com
  • Direct secure messaging: amy.kingman@oconeeregional.gadirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD

Organizations & group practices 6

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 7

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1992749659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "SUITE 490",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018307",
            "telephone_number": "478-741-1208",
            "fax_number": "478-741-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 LAKESIDE COMMONS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105779",
            "telephone_number": "478-200-8152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "682 Hemlock St",
            "address_2": "Suite 490",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312018307",
            "country_code": "US",
            "telephone_number": "478-741-1208",
            "fax_number": "478-741-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGMAN",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "002870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936764307A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.