DR. JAMES R. KISSELBURG (M,D.) – Hospitalist Physician, NPI 1841434255

DR. JAMES R. KISSELBURG (M,D.) is a healthcare provider. based in Waycross, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M,D.. They hold a License No. 76594 (GA). The NPI Number for DR. JAMES R. KISSELBURG (M,D.) is 1841434255

Main info

Male
17 Years Of Experience
Name
DR. JAMES R. KISSELBURG (M,D.)
NPI
1841434255
Phone
(912) 338-6438
Address
1900 TEBEAU STREET
Enumeration Date
29 April 2009
Last Update Date
19 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123699400
Graduation Year
2009 (17 years ago)
PAC ID
0648496687
Group Practice PAC ID
9537461538
Professional Enrollment ID
I20161004003046
Address ID
GA313134000HI462XXPKWY500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. JAMES R. KISSELBURG (M,D.)

  • Memorial Satilla Health, 1900, Tebeau Street, Waycross, Ware County, Georgia, 31501, United States

    MAYO CLINIC HEALTH SYSTEM

    WAYCROSS, GA 31501

    Phone: (912) 338-6438

    Fax: (912) 338-6439

    Mailing address matches the actual address.

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: 2016-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20161004003046IFamily PracticeGATBD

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
99285Emergency department visit with high level of medical decision making7371$0
99284Emergency department visit with moderate level of medical decision making4544$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2726$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

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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: 9537461538View full group profile
NameSpecialtyState
General PracticeGA
Physician AssistantGA
Emergency MedicineGA
Family Practice, Emergency MedicineGA
Emergency Medicine, Family PracticeGA
Emergency MedicineGA
Emergency MedicineGA
-GA
-FL
Emergency MedicineGA

Reviews

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Frequently asked questions

Does DR. JAMES R. KISSELBURG (M,D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JAMES R. KISSELBURG (M,D.) uses 1841434255.
Is DR. JAMES R. KISSELBURG (M,D.) still practicing?
DR. JAMES R. KISSELBURG (M,D.) is currently listed as active in the public NPI registry.
What is DR. JAMES R. KISSELBURG (M,D.)'s specialty?
The listing groups DR. JAMES R. KISSELBURG (M,D.) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Does DR. JAMES R. KISSELBURG (M,D.) list a practice location?
Patients near Waycross, Georgia may find DR. JAMES R. KISSELBURG (M,D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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