GEORGIA LEE KETCHUM (M.D.) – Psychiatry Physician, NPI 1659690881

GEORGIA LEE KETCHUM (M.D.) is a healthcare provider. based in Pensacola, Florida. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. ME120147 (FL). The NPI Number for GEORGIA LEE KETCHUM (M.D.) is 1659690881

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
GEORGIA LEE KETCHUM (M.D.)
NPI
1659690881
Phone
(850) 494-3953
Address
2191 E JOHNSON AVE
Enumeration Date
27 May 2010
Last Update Date
16 July 2014

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8504943953
Graduation Year
2010 (16 years ago)
PAC ID
9830317643
Group Practice PAC ID
9537126222
Professional Enrollment ID
I20140820000358
Address ID
FL325146039PE2191XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for GEORGIA LEE KETCHUM (M.D.)

  • 2191 E JOHNSON AVE

    INPATIENT PSYCHIATRY

    PENSACOLA, FL 325146029

    Phone: (850) 494-3953

    Fax: (850) 494-3960

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140820000358IPsychiatryFLTBD
I20231116001400IPsychiatryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10529$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3519$0
99239Hospital discharge day management, more than 30 minutes3533$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 32514)

Loading plans...

Provider's Procedures

GEORGIA LEE KETCHUM (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYFL90792Psychiatric diagnostic evaluation with medical services1919

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537126222View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify GEORGIA LEE KETCHUM (M.D.) for billing?
Administrative and clinical systems typically use NPI 1659690881 for GEORGIA LEE KETCHUM (M.D.).
Is GEORGIA LEE KETCHUM (M.D.)'s NPI status active today?
Active status means GEORGIA LEE KETCHUM (M.D.)'s NPI record is not deactivated in the public file.
What type of care does GEORGIA LEE KETCHUM (M.D.) provide?
GEORGIA LEE KETCHUM (M.D.)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to GEORGIA LEE KETCHUM (M.D.)?
GEORGIA LEE KETCHUM (M.D.) shows a connection to Pensacola, Florida in registry-derived data.
Can I export GEORGIA LEE KETCHUM (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

315 SE 14th St
NPI: 1104829274

MR. HENRY HARRIS DOHN (MD)

Psychiatry Physician
5190, Bayou Boulevard, Pensacola, Escambia County, Florida, 32503, United States
NPI: 1407857956

DR. MYRNA BOBET (M.D.)

Psychiatry Physician
1120, North Palafox Street, North Hill, Pensacola, Escambia County, Florida, 32501, United States
NPI: 1679575542

DR. BRYAN VYVERBERG (M.D.)

Psychiatry Physician
15190, Community Road, Gulfport, Harrison County, Mississippi, 39503, United States
NPI: 1740272723

MR. JOHN C FETZER (MD)

Psychiatry Physician
2191 E JOHNSON AVE
NPI: 1801881040

KABERI SAMANTA (MD)

Psychiatry Physician
1221, West Lakeview Avenue, Pensacola, Escambia County, Florida, 32501, United States
NPI: 1093700973

DR. MYRON ALMOND (MD)

Psychiatry Physician
1221, West Lakeview Avenue, Pensacola, Escambia County, Florida, 32501, United States
NPI: 1699760405

YIRA VAN DER LINDE (MD)

Psychiatry Physician
1221, East de Soto Street, East Hill, Pensacola, Escambia County, Florida, 32501, United States
NPI: 1770578585

MR. RAUL JIMENEZ (MD)

Psychiatry Physician
2191 E JOHNSON AVE
NPI: 1588659395