Mrs Kimberly Lacynthia Logan, APRN - Medicare Nurse Practitioner in Chatsworth, GA

Mrs Kimberly Lacynthia Logan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Chatsworth, Georgia. Her current practice location is 1440 Jackson Lake Rd, Chatsworth, Georgia. You can reach out to her office (for appointments etc.) via phone at (904) 377-3301.

Mrs Kimberly Lacynthia Logan is licensed to practice in Florida (license number 9166317) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417147463.

Contact Information

Mrs Kimberly Lacynthia Logan, APRN
1440 Jackson Lake Rd,
Chatsworth, GA 30705-4109
(904) 377-3301
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kimberly Lacynthia Logan
GenderFemale
SpecialityNurse Practitioner - Family
Location1440 Jackson Lake Rd, Chatsworth, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417147463
  • Provider Enumeration Date: 07/26/2007
  • Last Update Date: 09/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810038585
  • Enrollment ID: I20230128000238

Medical Identifiers

Medical identifiers for Mrs Kimberly Lacynthia Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417147463NPI-NPPES
001458200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 9166317 (Florida)Secondary
363LF0000XNurse Practitioner - Family 9166317 (Florida)Primary

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. Mrs Kimberly Lacynthia Logan 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
Mrs Kimberly Lacynthia Logan, APRN
1440 Jackson Lake Rd,
Chatsworth, GA 30705-4109

Ph: () -
Mrs Kimberly Lacynthia Logan, APRN
1440 Jackson Lake Rd,
Chatsworth, GA 30705-4109

Ph: (904) 377-3301

Reviews and Comments


Nurse Practitioner Nurses in Chatsworth, GA

Sara Rebekah Houston,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 800 Gi Maddox Pkwy, Chatsworth, GA 30705
Phone: 706-686-8050    Fax: 866-348-6516
Brenda Cheryl Dukas, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1008 N 3rd Ave, Chatsworth, GA 30705
Phone: 706-517-2273    Fax: 706-517-2469
Mrs. Laura Huber Nix, ARPN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 Green Rd, Chatsworth, GA 30705
Phone: 706-517-2200    Fax: 706-517-2469
Kristen Slade, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 800 Gi Maddox Pkwy, Chatsworth, GA 30705
Phone: 706-686-8050    
Mrs. Dejah Rena Perry, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2976 Highway 76 Ste B, Chatsworth, GA 30705
Phone: 706-517-0656    Fax: 706-517-0651
Pamela Jean Key, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 Green Rd, Chatsworth, GA 30705
Phone: 706-517-2200    
Matthew Jonathan Adams, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2976 Highway 76 Ste B&c, Chatsworth, GA 30705
Phone: 706-517-0656    Fax: 706-517-0651

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.