Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kasey L Bolton, PNP

Individual provider Nurse Practitioner · NPI 1184754210

Kasey L Bolton, PNP is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2003, 23 years ago. Practices with Specialty Spine and Pain PC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
23
Licensed in
GA
In the registry since
2007
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

1250 Jesse Jewell Pkwy SE Ste 200
Gainesville, GA 30501-3871
Phone: (770) 297-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 South Enota Drive, Gainesville, GA 30501 — (770) 534-5255

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN134351 (GA)

Record details

NPI number1184754210
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Specialty Spine And Pain Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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