DR. NATHAN WILLIAM KINCAID (M.D.) – Surgery Physician, NPI 1588008429

DR. NATHAN WILLIAM KINCAID (M.D.) is a healthcare provider. based in Blue ridge, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 080536 (GA). The NPI Number for DR. NATHAN WILLIAM KINCAID (M.D.) is 1588008429

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN WILLIAM KINCAID (M.D.)
NPI
1588008429
Phone
(706) 946-4253
Address
2855 Old Highway 5 Ste 108
Enumeration Date
22 April 2013
Last Update Date
22 March 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9072358101
Graduation Year
2013 (13 years ago)
PAC ID
9234482241
Group Practice PAC ID
5395636930
Professional Enrollment ID
I20220615003175
Address ID
AK996037005HO4300XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,092 GENERAL SURGERY in GA

Provider Addresses for DR. NATHAN WILLIAM KINCAID (M.D.)

  • 2855 Old Highway 5 Ste 108

    Blue Ridge, GA 30513

    Phone: (706) 946-4253

    Fax: (706) 946-4249

    Type: Location

  • 4300 Bartlett St

    Homer, AK 996037005

    Phone: (907) 235-3255

    Fax: (907) 235-3203

    Type: Location

  • 101 RIVERSTONE VIS STE 300

    BLUE RIDGE, GA 305136683

    Phone: (706) 946-4206

    Fax: (706) 946-4289

    Type: Mailing

  • 2855 OLD HIGHWAY 5 STE 108

    BLUE RIDGE, GA 30513

    Phone: (706) 946-4253

    Fax: (706) 946-4249

    Type: Location

  • 203 W PIONEER AVE

    HOMER, AK 996037527

    Phone: (907) 235-3225

    Fax: (907) 235-3203

    Type: Location

  • 4300 BARTLETT ST

    HOMER, AK 996037000

    Phone: (907) 235-3225

    Fax: (907) 235-3203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2022-06-15

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
I20181022000658IGeneral SurgeryGATBD
I20220615003175IGeneral SurgeryAKTBD

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 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 30513)

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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: 5395636930View full group profile
NameSpecialtyState
Internal MedicineAK
Family PracticeNC
Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YAK
Nurse PractitionerAK
-AK
Cardiovascular Disease (Cardiology)AK
Family Practice, HospitalistMT
Cardiovascular Disease (Cardiology), Internal MedicineAK
Family PracticeAK

Reviews

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Frequently asked questions

What unique ID ties claims to DR. NATHAN WILLIAM KINCAID (M.D.)?
NPI 1588008429 is assigned to DR. NATHAN WILLIAM KINCAID (M.D.) under the national enumeration system.
Does this profile mean DR. NATHAN WILLIAM KINCAID (M.D.) is currently active?
Yes — DR. NATHAN WILLIAM KINCAID (M.D.) appears active in the national provider directory.
Can you summarize DR. NATHAN WILLIAM KINCAID (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. NATHAN WILLIAM KINCAID (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. NATHAN WILLIAM KINCAID (M.D.)?
The snapshot lists Blue Ridge, Georgia for DR. NATHAN WILLIAM KINCAID (M.D.); download NPPES for the complete set.
What if Blue Ridge, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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