KEVWE MILLER FAKPOR NP
NPI 1790417236
Nurse Practitioner - Family in Buford, GA

Q: What is Kevwe Miller Fakpor's NPI number?

The NPI number for Kevwe Miller Fakpor is 1790417236. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Q: What is Kevwe Miller Fakpor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 24, 2022PECOS Enrolled

2805 HAMILTON MILL RD, BUFORD, GA 30519(678) 541-0588 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2025, Jul 9, 2023 (2 updates tracked since 2023).

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About Kevwe Miller Fakpor Np NPPES

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

KEVWE MILLER FAKPOR NP (NPI 1790417236) is an individual family provider in Buford, Georgia, licensed in Georgia (RN250526) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Spanaway.

NPPES Registry Identity

NPI1790417236

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKEVWE MILLER FAKPORCredential: NP

Location Address2805 HAMILTON MILL RDBuford, GA 30519-4110

Mailing Address2767 Cove View CtDacula, GA 30019-4715 · (404) 989-6654

Phone(678) 541-0588

Sole ProprietorNo

Enumeration DateJune 24, 2022

Last NPPES UpdateJune 18, 20252 updates tracked since enumeration

NPPES CertifiedJune 18, 2025

✔ NPI 1790417236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in GA · RN250526✔ Licensed in WA · AP61536348

2805 HAMILTON MILL RD, Buford, GA 30519

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Secondary Practice Location 1

Location 1225 176th St SSpanaway, WA 98387-9201 · Phone (532) 402-1302 · Fax (253) 240-2133

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevwe Miller Fakpor Np 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.

Medicare Billing Reassignments

Medicare enrollment records show Kevwe Miller Fakpor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascend Medical Georgia PC

33 mi

Family Medicine

619 RANKIN ST NE
Atlanta, GA 30308

Reassigned Medicare billing, Georgia enrollment
40 clinicians in this Medicare group

NPI 1841800836 (888) 250-5708

Capital Healthcare PC

501 mi

Primary Care

6020 RICHMOND HWY STE 102
Alexandria, VA 22303

Reassigned Medicare billing, Georgia enrollment
41 clinicians in this Medicare group

NPI 1811239627 (571) 308-6776

Sea Mar Community Health Centers

2,174 mi

Federally Qualified Health Center (FQHC)

19005 SE 34TH ST BLDG 3
Vancouver, WA 98683

Reassigned Medicare billing, Washington enrollment
525 clinicians in this Medicare group

NPI 1770933640 (360) 726-6720

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30519 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YIANNA MANOLAKIS NP-C

Nurse Practitioner (Family)