Kathryn Lea McCusker, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

060677 Issued in GA

Practice address

133 W Athens St
Winder, GA 30680-1786

Phone

(770) 867-6633

Fax

(770) 867-6703

NPI assigned

May 2, 2007

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.mccusker.1@9864.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: kathryn.mccusker1@gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1396794541
  Medicare reassignment NPD
• Medlink Georgia, Inc

  • Podiatric Clinic/Center
  • Commerce, GA
  • NPI 1619627460
  NPD
• Augusta Physicians Group, LLC

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1518169168
  NPD (past)
• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
  • NPI 1346299807
  NPD (past)
• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1669951414
  NPD (past)
• Medlink Georgia Inc

  • Community/Retail Pharmacy
  • Winder, GA
  • NPI 1801262720
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1992926083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459",
            "telephone_number": "706-788-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W ATHENS ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801786",
            "telephone_number": "770-867-6633",
            "fax_number": "770-867-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUSKER",
        "first_name": "KATHRYN",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "060677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760599920C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald E. Mauney, P.A.
• Hannah J May, LPC
• Jessica Mayes, RBT
• Deshun McCluskey, PA-C
• Norman Hugh McCulloch Jr., M.D.
• Aja S. McCutchen, M.D
• Bryce McDaniel
• Louise Marie McDowell, RBT
• Grace Elizabeth McLoughlin, PA-C
• Lance Joseph McNamara, EMT-I, ATC/L

• Pediatrics Physician in Winder, GA
• Providers in Winder, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.