WAYNE FAMILY PRACTICE ASSOCIATES, P.C.
NPI 1114962487
Family Medicine in Baxley, GA
About Wayne Family Practice Associates, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAYNE FAMILY PRACTICE ASSOCIATES, P.C. (NPI 1114962487) is a healthcare organization registered as a family medicine in Baxley, Georgia and active in the NPI registry since June 2006. The organization lists Kevin O. Keown, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wayne Family Practice Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Wayne Family Practice Associates, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wayne Family Practice Associates, P.C.'s NPI number?
The NPI number for Wayne Family Practice Associates, P.C. is 1114962487. It was assigned to this organization in the NPPES registry on June 19, 2006.
Where is Wayne Family Practice Associates, P.C. located?
Wayne Family Practice Associates, P.C. is located at 118 Azalea Rd Ste 1, Baxley, GA 31513. The listed phone number is (912) 294-0380.
What is Wayne Family Practice Associates, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wayne Family Practice Associates, P.C. enrolled in Medicare?
Yes. Wayne Family Practice Associates, P.C. is registered in the Medicare PECOS enrollment system.
When is Wayne Family Practice Associates, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wayne Family Practice Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Wayne Family Practice Associates, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wayne Family Practice Associates, P.C. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wayne Family Practice Associates, P.C. 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 Wayne Family Practice Associates, P.C. was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Wayne Family Practice Associates, P.c. · NPI 1114962487
Family Medicine organization in Baxley, Georgia. Organization record, active in the CMS NPPES registry since June 19, 2006.
## Identity
- **NPI:** 1114962487 (Entity type: Organization)
- **Enumerated:** June 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Keown, PROVIDER/OWNER
## Practice location
- **Address:** 118 AZALEA RD STE 1, Baxley, GA 31513-9197
- **Phone:** (912) 294-0380 · **Fax:** (912) 427-0591
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2025
- **Other identifiers:** Medicaid 85001314G (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114962487) · Data from the CMS NPPES public registry.