MRS. KACIE MIRANDA PROCTOR NP-C NPI 1558804971

NPI Information

  • NPI: 1558804971
  • Provider Name: MRS. KACIE MIRANDA PROCTOR, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 304 TURNER MCCALL BLVD SW
    ROME, GA
    ZIP 30165
  • Phone: (706) 509-5000

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NPI Details

MRS. Kacie Miranda Proctor, NP-C is a family nurse practitioner in Rome, GA. MRS. Kacie Miranda Proctor, NP-C NPI is 1558804971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

304 TURNER MCCALL BLVD SW
ROME, GA
ZIP 30165-621
Phone: (706) 509-5000

The NPI 1558804971 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2016 and was last updated on 4/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WE0003XRegistered NurseEmergencyRN230749GEORGIANo
2363LF0000XNurse PractitionerFamilyRN230749GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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