Kristin Ashely Berdy
Nurse Practitioner, Family in Cumming, GA. Individual provider (NPI-1).
NPI number1851934657
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1851934657
- Entity type
- Individual (NPI-1)
- Name
- Kristin Ashely Berdy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2019
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN242053 | GA | Yes |
Practice location
1780 Peachtree Pkwy Ste 302Cumming, GA 30041-6834
Phone 470-275-6230
Mailing address
1780 Peachtree Pkwy Ste 302Cumming, GA 30041-6834
Phone 470-275-6230
Other practice locations
1780 Peachtree Pkwy Ste 302
Cumming, GA 30041-6834
Cumming, GA 30041-6834
Phone 470-275-6230
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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