Altamaha Primary Care, LLC
NPI 1093472896 · Primary Care Nurse Practitioner · Jesup, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Altamaha Primary Care, LLC is a Primary Care Nurse Practitioner organization in Jesup, GA (NPI 1093472896).
Provider details
- NPI number
- 1093472896
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kimberly Kirk, Owner/President(912) 559-2420
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2021-11-29
- Certified
- 2021-11-29
Frequently asked questions
- What is Altamaha Primary Care, LLC's NPI number?
- Altamaha Primary Care, LLC's National Provider Identifier (NPI) is 1093472896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Altamaha Primary Care, LLC?
- Altamaha Primary Care, LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Altamaha Primary Care, LLC located?
- Altamaha Primary Care, LLC's practice location on file with NPPES is 248 Ne Broad St, Jesup, GA 31546-4371.
- What is Altamaha Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Altamaha Primary Care, LLC is (912) 559-2696.
- Does Altamaha Primary Care, LLC accept Medicare?
- Altamaha Primary Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Altamaha Primary Care, LLC?
- The authorized official listed on Altamaha Primary Care, LLC's NPPES record is Kimberly Kirk, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Altamaha Primary Care, LLC's NPI active?
- Yes — Altamaha Primary Care, LLC's NPI (1093472896) is active in the NPPES registry as of the last update on 2021-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.