Deactivated NPI 1851367148 Deactivated / Inactive NPI Female Practitioner

Kathy A Kemle , PHYSICIAN ASSISTANT

Physician Assistant • Macon, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathy Kemle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 27, 2006

NPI Deactivation Date September 01, 2022

Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Kathy Kemle, PHYSICIAN ASSISTANT was a registered Physician Assistant practicing in Macon, GA. Throughout an active medical career spanning 16 years, Kathy Kemle provided care at the practice location at 3780 EISENHOWER PKWY until profile deactivation on 2022-09-01.

Historical Medicare Part B clinical services included residence visit for established patient with high level of medical decision making, per day, if using time, at least, residence visit for established patient with low level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3780 Eisenhower Pkwy

Macon, GA 312060800

Telephone 4786335550

Associated Practice Facility / Clinic

🏢 Advanced Home Care, Inc Facility NPI 1477968931

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Macon, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.0 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

90 Specialists

Practicing in Macon, GA (4726 Statewide)

Telehealth Adoption Rate

4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	14	11	$296.00	$145.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	40	17	$296.00	$149.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	83	26	$296.00	$141.81
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	35	17	$140.00	$67.23
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	21	15	$205.00	$106.81
36415 Insertion of needle into vein for collection of blood sample	19	16	$27.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	17	15	$206.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	12	$153.00	$8.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	37	18	$205.00	$106.61
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	29	15	$296.00	$148.11
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	26	15	$140.00	$69.92
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	18	14	$203.00	$107.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	16	$114.00	$57.15
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	12	11	$75.00	$36.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	65	39	$71.38	$36.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	32	$105.62	$56.43
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	28	22	$190.68	$111.24
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	25	17	$191.00	$111.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	14	$145.00	$74.67
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	15	12	$104.47	$52.16
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	12	11	$71.67	$36.49

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 002121

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Shuichi Nakai , MD

Family Medicine

NPI 1013409317

Doctor of Medicine (M.D.)

Dr. Antonio Gobenciong , MD

Family Medicine

NPI 1164954319

Doctor of Medicine (M.D.)

Dr. Sylvia Shellenberger , MD

Psychologist

NPI 1306812540

Doctor of Medicine (M.D.)

Dr. Shayan Zafrani , MD

Family Medicine

NPI 1326427642

Doctor of Medicine (M.D.)

Dr. James Vlahos , MD

Internal Medicine

NPI 1487159034

Doctor of Medicine (M.D.)

Dr. Ifeoma Njoku , MD

Family Medicine

NPI 1508824103

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

⚠️

NPI Profile Deactivated September 01, 2022

Record deactivated on September 01, 2022

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Updated Business Mailing Address August 06, 2020

Registered at 3780 EISENHOWER PKWY, MACON, GA 312060800 (Tel: 4786335500)

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Provider Name / Credentials Updated August 06, 2020

Recorded as KATHY KEMLE, PA

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NPI Profile Active December 15, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 15, 2015

Registered at 3780 EISENHOWER PKWY, MACON, GA 312060800 (Tel: 4786335550)

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Updated Business Mailing Address December 15, 2015

Registered at 2490 RIVERSIDE DR, STE B, MACON, GA 312041787 (Tel: 4786336633)

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Provider Name / Credentials Updated December 15, 2015

Recorded as KATHY KEMLE, PHYSICIAN ASSISTANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2015

Physician Assistant (License #002121 in GA)

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Initial NPI Registration & Enumeration February 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1851367148

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 27, 2006

Last Update: December 15, 2015

Deactivation Date: September 01, 2022

Update or Correct Profile

Mailing Address

2490 Riverside Dr, Ste B

Macon, GA 312041787

Phone: 4786336633

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.