| Kenneth Lindsey Kiser, APRN | |
|
2922 N Oak St Ste C, Valdosta, GA 31602-1885 | |
| (229) 262-6819 | |
| Not Available |
| Full Name | Kenneth Lindsey Kiser |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2922 N Oak St Ste C, Valdosta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609230069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | RN066436 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tift Regional Medical Center | Tifton, GA | Hospital |
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwell Ambulatory Inc | 9234566779 | 10 |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Sgmp Southland, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20130812000452 |
| Entity Name | Tift Regional Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
| Entity Name | Southwell Ambulatory Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164069472 PECOS PAC ID: 9234566779 Enrollment ID: O20200224001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Lindsey Kiser, APRN 5470 Serendipity Trl, Hahira, GA 31632-3465 Ph: (229) 415-5175 | Kenneth Lindsey Kiser, APRN 2922 N Oak St Ste C, Valdosta, GA 31602-1885 Ph: (229) 262-6819 |
John Stephen Dodd, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4340 Fax: 259-259-4341 | |
Vicki Wetter, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3120 N Oak Street Ext Ste G, Valdosta, GA 31602 Phone: 229-671-6130 Fax: 229-671-6764 | |
Lindsey C Mcclain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-242-6061 Fax: 229-242-6151 | |
Ms. Barbara Ann Pearce, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4233 Camelot Xing, Valdosta, GA 31602 Phone: 229-469-4383 Fax: 229-469-4584 | |
Mr. Nathan Kelly Roberson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4340 Kings Way, Valdosta, GA 31602 Phone: 229-333-9736 | |
Mr. Robert Donald Keen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2602 Rolling Rd, Valdosta, GA 31602 Phone: 229-560-4575 | |
William Thomas Mulligan Jr., FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2409 N Patterson St # F3, Valdosta, GA 31602 Phone: 229-433-8160 |