Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639566433 Individual Practitioner Female Practitioner

Kizzy Oliver Edmond , FNP-C

Registered Nurse • Dublin, GA

Professional Overview & Biography Verified Profile Summary

Kizzy Edmond, FNP-C is a registered healthcare professional specializing in Registered Nurse in Dublin, GA. Practice services are available at 2121A BELLEVUE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2121a Bellevue Rd

Dublin, GA 310212998

Telephone 4782721190
Fax 4782747628
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Dublin, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
80 Specialists

Practicing in Dublin, GA (3397 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-22
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License GA 230365

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300030912A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Garrett Clark

Behavior Technician

NPI 1003754771
Dr. Louis Jacobs , MD

Psychiatry & Neurology - Psychiatry

NPI 1003891441

Doctor of Medicine (M.D.)

Baserine Grace , LPN

Licensed Practical Nurse

NPI 1013156132

Licensed Practical Nurse

Yolanda Campbell , LPC

Counselor - Mental Health

NPI 1013201797

Licensed Professional Counselor

Jennifer Freeman , LCSW

Social Worker - Clinical

NPI 1023093093

Licensed Clinical Social Worker

Betty Boutwell , LPN

Licensed Practical Nurse

NPI 1023095056

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address August 22, 2023

Registered at 854 SHADY GROVE CHURCH RD, DUBLIN, GA 310211052 (Tel: 4782788201)

👤
Provider Name / Credentials Updated August 22, 2023

Recorded as KIZZY EDMOND, FNP-C

NPI Profile Active April 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2015

Registered at 2121A BELLEVUE RD, DUBLIN, GA 310212998 (Tel: 4782721190)

📍
Updated Business Mailing Address April 20, 2015

Registered at 2121A BELLEVUE RD, DUBLIN, GA 310212998 (Tel: 4782721190)

👤
Provider Name / Credentials Updated April 20, 2015

Recorded as KIZZY OLIVER, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2015

Registered Nurse (License #230365 in GA)

🟢
Initial NPI Registration & Enumeration April 20, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639566433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2015
Last Update: August 22, 2023
Sole Proprietor: Yes

Mailing Address

854 Shady Grove Church Rd

Dublin, GA 310211052

Phone: 4782788201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.