Mr Kevin Mitchell Spikes, FNP in Marietta, GA

Mr Kevin Mitchell Spikes, FNP is a medicare enrolled "Nurse Practitioner - Family" in Marietta, Georgia. His current practice location is 4800 Olde Towne Pkwy Ste 320, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 341-6370.

Mr Kevin Mitchell Spikes is licensed to practice in Georgia (license number RN278291) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083315659.

Contact Information

	Mr Kevin Mitchell Spikes, FNP
	4800 Olde Towne Pkwy Ste 320, Marietta, GA 30068-4357
	(678) 341-6370
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kevin Mitchell Spikes
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4800 Olde Towne Pkwy Ste 320, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083315659
Provider Enumeration Date: 03/13/2023
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 7618335688
Enrollment ID: I20230623000165

Medical Identifiers

Medical identifiers for Mr Kevin Mitchell Spikes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083315659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN278291 (Georgia)	Primary

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. Mr Kevin Mitchell Spikes allows following entities to bill medicare on his behalf.

Entity Name	Southeast Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347

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. Mr Kevin Mitchell Spikes 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 Address	Practice Location Address
Mr Kevin Mitchell Spikes, FNP 100 Piedmont Rd Ne, Marietta, GA 30066-3636 Ph: (229) 569-0815	Mr Kevin Mitchell Spikes, FNP 4800 Olde Towne Pkwy Ste 320, Marietta, GA 30068-4357 Ph: (678) 341-6370

Reviews and Comments

Nurse Practitioner Nurses in Marietta, GA

Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602
Donna Marie Liming, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064 Phone: 678-802-8665 Fax: 678-540-4250
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938
Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198
Dr. Ibisa Comfort Onyirimba, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 Hurt Rd Sw, Marietta, GA 30008 Phone: 404-934-2420
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444

Mr Kevin Mitchell Spikes, FNP - Medicare Nurse Practitioner in Marietta, GA