JOSIAH L KIETZMAN DO
NPI 1780218743
Internal Medicine in Fort Eisenhower, GA

Active since February 28, 2020PECOS Enrolled
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905(706) 787-5811 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2025, Aug 7, 2023, Oct 20, 2021 and 2 more (5 updates tracked since 2020).

About Josiah L Kietzman Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSIAH L KIETZMAN DO (NPI 1780218743) is an individual internal medicine provider in Fort Eisenhower, Georgia, licensed in Virginia (0102206892) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780218743
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSIAH L KIETZMANCredential: DO
Location Address300 W HOSPITAL RDFort Eisenhower, GA 30905-5741
Mailing Address300 W Hospital RdFort Gordon, GA 30905 · (706) 787-5811
Sole ProprietorNo
Enumeration DateFebruary 28, 2020
Last NPPES UpdateJuly 3, 20255 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
NPI 1780218743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0102206892
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0102206892 (VA)
300 W HOSPITAL RD, Fort Eisenhower, GA 30905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Josiah L Kietzman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$22.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
300 W HOSPITAL RD, BUILDING 300
FORT GORDON, GA 30905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
AUGUSTA, GA 30905
Family Medicine
300 W HOSPITAL RD, EAMC CREDENTIALS
FORT GORDON, GA 30905
Clinic/Center
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Otolaryngology
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
AUGUSTA, GA 30905
Social Worker (Clinical)
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, CREDENTIALS
FORT GORDON, GA 30905
Pharmacist
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Psychiatry & Neurology (Psychiatry)
300 W HOSPITAL RD, DDEAMC
AUGUSTA, GA 30905

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 Josiah Kietzman's NPI number?

The NPI number for Josiah Kietzman is 1780218743. It was assigned to this individual provider in the NPPES registry on February 28, 2020.

Where is Josiah Kietzman located?

Josiah Kietzman practices at 300 W Hospital Rd, Fort Eisenhower, GA 30905. The listed phone number is (706) 787-5811.

What is Josiah Kietzman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Josiah Kietzman enrolled in Medicare?

Yes. Josiah Kietzman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Josiah Kietzman was last updated on July 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.