Kenneth Wayne Waddell Jr, NP - Medicare Nurse Practitioner in Forsyth, GA

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Kenneth Wayne Waddell Jr, NP is a medicare enrolled "Nurse Practitioner" in Forsyth, Georgia. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Medical Center Of Central Georgia Inc., Health Services Of Central Georgia and his current practice location is 120 N Lee St Ste A, Forsyth, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 994-0437.

Kenneth Wayne Waddell Jr is licensed to practice in Georgia (license number RN249530) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124504782.

Contact Information

Kenneth Wayne Waddell Jr, NP
120 N Lee St Ste A,
Forsyth, GA 31029
(478) 994-0437
Not Available

Map and Direction




Provider's Profile

Full NameKenneth Wayne Waddell Jr
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location120 N Lee St Ste A, Forsyth, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Wayne Waddell Jr graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1124504782
  • Provider Enumeration Date: 07/17/2018
  • Last Update Date: 07/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1850644592
  • Enrollment ID: I20181027000090

Medical Identifiers

Medical identifiers for Kenneth Wayne Waddell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124504782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN249530 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical Center, Navicent Health (the)Macon, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Medical Center Of Central Georgia Inc.367847744524
Health Services Of Central Georgia9638076730214

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. Kenneth Wayne Waddell Jr allows following entities to bill medicare on his behalf.
Entity NameHealth Services Of Central Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184679482
PECOS PAC ID: 9638076730
Enrollment ID: O20031217000270
Entity NameThe Medical Center Of Central Georgia Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831287655
PECOS PAC ID: 3678477445
Enrollment ID: O20040812000902

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. Kenneth Wayne Waddell Jr 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 AddressPractice Location Address
Kenneth Wayne Waddell Jr, NP
120 N Lee St Ste A,
Forsyth, GA 31029-2122

Ph: (478) 994-0437		Kenneth Wayne Waddell Jr, NP
120 N Lee St Ste A,
Forsyth, GA 31029

Ph: (478) 994-0437

Reviews and Comments


Nurse Practitioner Nurses in Forsyth, GA

Elizabeth Goodwin, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 97 Martin Luther King Jr Dr, Forsyth, GA 31029
Phone: 478-994-1010    Fax: 478-994-1080
Ms. Tracy Tarvers, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 130 N Lee St, Forsyth, GA 31029
Phone: 478-974-6080    Fax: 478-974-9002
Jennifer Wynne Collins, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 130 N Lee St, Forsyth, GA 31029
Phone: 478-974-6080    Fax: 478-974-9002
Christa Bales,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 105 Forest View Cir, Forsyth, GA 31029
Phone: 770-710-9227    
Catherine Elyse Dennis,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 130 N Lee St, Forsyth, GA 31029
Phone: 478-974-6080    Fax: 478-974-9002
Tammy Lynn Barnett, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 97 Martin Luther King Jr. Dr., Forsyth, GA 31029
Phone: 478-994-1010    Fax: 478-994-1080

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.