MR. KENNETH BOSTIC PA-C
NPI 1043360597
Physician Assistant in Fort Stewart, GA
About Mr. Kenneth Bostic Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH BOSTIC PA-C (NPI 1043360597) is an individual physician assistant in Fort Stewart, Georgia, licensed in Georgia (003528) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kenneth Bostic Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT STEWART, GA 31314
FORT STEWART, GA 31314
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Bostic's NPI number?
The NPI number for Kenneth Bostic is 1043360597. It was assigned to this individual provider in the NPPES registry on January 10, 2007.
Where is Kenneth Bostic located?
Kenneth Bostic practices at 1061 Harmon Ave Winn Army Community Hospital Ste1d03, Fort Stewart, GA 31314. The listed phone number is (912) 435-5254.
What is Kenneth Bostic's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kenneth Bostic enrolled in Medicare?
Yes. Kenneth Bostic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kenneth Bostic accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kenneth Bostic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kenneth Bostic was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Kenneth Bostic, PA-C · NPI 1043360597
Physician Assistant physician in Fort Stewart, Georgia. Individual provider, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1043360597 (Entity type: Individual)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 003528 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL STE1D03, Fort Stewart, GA 31314-5641
- **Phone:** (912) 435-5254
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** June 11, 2026
- **Other identifiers:** Medicaid 641480416A (GA); Medicaid 641480416B (GA); Medicaid 641480416C (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1043360597) · Data from the CMS NPPES public registry.