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

Kathryn Petrie

Individual provider Family Nurse Practitioner · NPI 1619365632

Kathryn Petrie is a Nurse Practitioner in Fitzgerald, Georgia. Qualified in 2014, 12 years ago. Practices with Dmc Physician Group LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2014
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Practice location Address checks out

118 Norman Dorminy Dr
Fitzgerald, GA 31750-8858
Phone: (229) 423-9561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN203692 (GA)

Record details

NPI number1619365632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2014
Last updated in NPPESDecember 29, 2014
Mailing address118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Dmc Physician Group Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fitzgerald