Nicole S Kearney, MD - Medicare Pediatrics in Peachtree City, GA

  1. Home
  2. Pediatrics
  3. GA
  4. Peachtree City
Nicole S Kearney, MD is a medicare enrolled "Pediatrics" physician in Peachtree City, Georgia. Her current practice location is 4000 Shakerag Hl Ste 201, Peachtree City, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 486-7111.

Nicole S Kearney is licensed to practice in Georgia (license number 78055) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568470235.

Contact Information

Nicole S Kearney, MD
4000 Shakerag Hl Ste 201,
Peachtree City, GA 30269-4047
(770) 486-7111
Not Available

Map and Direction




Physician's Profile

Full NameNicole S Kearney
GenderFemale
SpecialityPediatrics
Location4000 Shakerag Hl Ste 201, Peachtree City, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568470235
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 02/25/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6507867421
  • Enrollment ID: I20171030001974

Medical Identifiers

Medical identifiers for Nicole S Kearney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568470235NPI-NPPES
195037OtherTNBETTER HEALTH PLANS OF TN
4133891OtherTNBCBS
195037OtherTNUNISON
7347856OtherTNATHENA
38165OtherTNTLC
3827707MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 78055 (Georgia)Primary
208000000XPediatrics 41059 (Tennessee)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole S Kearney allows following entities to bill medicare on her behalf.
Entity NamePrivia Pediatric Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710385513
PECOS PAC ID: 3375861032
Enrollment ID: O20150409002405

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole S Kearney is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole S Kearney, MD
4000 Shakerag Hl Ste 201,
Peachtree City, GA 30269-4047

Ph: (770) 486-7111		Nicole S Kearney, MD
4000 Shakerag Hl Ste 201,
Peachtree City, GA 30269-4047

Ph: (770) 486-7111

Reviews and Comments


Pediatrics Doctors in Peachtree City, GA

Dr. Jonathan W Hathaway, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4000 Shakerag Hl Ste 201, Peachtree City, GA 30269
Phone: 770-486-7111    
Ann E Eggert, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 12 Eastbrook Bnd, Peachtree City, GA 30269
Phone: 770-487-3330    Fax: 770-487-7736
Jerry M. Roberts, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269
Phone: 770-486-7111    Fax: 770-486-7131
Dr. Kenneth V. Akey, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3025 State St, Peachtree City, GA 30269
Phone: 770-683-3020    Fax: 833-341-1131
Dr. Annamma Daniel, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 19 East Brook Bend, Suite 200, Peachtree City, GA 30269
Phone: 770-487-3330    Fax: 770-487-7736
Dr. Jack Gibson Gray, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 135 Tamerlane, Peachtree City, GA 30269
Phone: 404-771-4665    
W Steen James, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 375 Highway 74 N, Peachtree City, GA 30269
Phone: 770-487-1519    Fax: 770-487-1574

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.