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DR. JAMES R. KISSELBURG M,D.
NPI 1841434255
Hospitalist in Waycross, GA

Active since April 29, 2009PECOS Enrolled
1900 TEBEAU STREET, WAYCROSS, GA 31501(912) 338-6438(912) 338-6439 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2016, Aug 12, 2016 (2 updates tracked since 2016).

About Dr. James R. Kisselburg M,d. NPPES

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

DR. JAMES R. KISSELBURG M,D. (NPI 1841434255) is an individual hospitalist provider in Waycross, Georgia, licensed in Georgia (76594) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Bleckley Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1841434255
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JAMES R. KISSELBURGCredential: M,D.
Location Address1900 TEBEAU STREETWaycross, GA 31501
Mailing Address1900 Tebeau Street, Mayo Clinic Health SystemWaycross, GA 31501 · (912) 338-6438 · Fax (912) 338-6439
Phone(912) 338-6438
Fax(912) 338-6439
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 29, 2009
Last NPPES UpdateAugust 19, 20162 updates tracked since enumeration
✔ NPI 1841434255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 76594
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1900 TEBEAU STREET, Waycross, GA 31501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James R. Kisselburg M,d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648496687
PECOS Enrollment IDI20161004003046
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

8

Medicare enrollment records show James Kisselburg reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System In Waycross, Inc.
0.1 mi
Multi-Specialty
1900 TEBEAU ST
Waycross, GA 31501
  • Reassigned Medicare billing, Georgia enrollment
  • 76 clinicians in this Medicare group
NPI 1154745982 (912) 283-3030
Southland Dodge Emergency Medical Services, LLC
82 mi
Emergency Medicine
901 GRIFFIN AVE
Eastman, GA 31023
  • Reassigned Medicare billing, Georgia enrollment
  • 31 clinicians in this Medicare group
NPI 1851958607 (478) 448-4000
Southland Emergency Medical Services Consolidated, LLC
99 mi
Hospitalist
145 E PEACOCK ST
Cochran, GA 31014
  • Reassigned Medicare billing, Georgia enrollment
  • 155 clinicians in this Medicare group
NPI 1033464391 (478) 934-6211
Southland Cochran Emergency Medical Services, LLC
99 mi
Emergency Medicine
145 PEACOCK ST.
Cocharan, GA 31014
  • Reassigned Medicare billing, Georgia enrollment
  • 52 clinicians in this Medicare group
NPI 1205241395 (478) 934-6211
Southland Optim Jenkins Emergency Medical Services, LLC
111 mi
Emergency Medicine
931 E WINTHROPE AVE
Millen, GA 30442
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1265826242 (229) 236-0831
Southland Burke Emergency Medical Services, LLC
130 mi
Emergency Medicine
351 S LIBERTY ST
Waynesboro, GA 30830
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1235885815 (229) 236-0831
Southland Bainbridge Hospitalist Group, LLC
132 mi
Hospitalist
1500 E SHOTWELL ST
Bainbridge, GA 39819
  • Reassigned Medicare billing, Georgia enrollment
  • 145 clinicians in this Medicare group
NPI 1356735336 (229) 236-0831
Southland Consolidated Emergency Services, LLC
202 mi
Emergency Medicine
4 MEDICAL DR
Elberton, GA 30635
  • Reassigned Medicare billing, Georgia enrollment
  • 137 clinicians in this Medicare group
NPI 1174917124 (706) 283-3151

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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
55 services53 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bleckley Memorial Hospital

Critical Access Hospitals · Cochran, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111302
Location145 Peacock StreetCochran, GA 31014 · Bleckley County
Emergency services

Liberty Regional Medical Center

Critical Access Hospitals · Hinesville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111335
Location462 E G Miles ParkwayHinesville, GA 31310 · Liberty County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 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.

Other Providers at the Same Location NPPES 4

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

MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.
Psychiatric Unit
1900 TEBEAU STREET
WAYCROSS, GA 31501
Ware County (912) 287-2500
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC
General Acute Care Hospital (Rural)
1900 TEBEAU STREET
WAYCROSS, GA 31501
Ware County (912) 287-2500
KELLI ALFORD MS, RDN, LDN
Dietitian, Registered
1900 TEBEAU STREET
WAYCROSS, GA 31501
Ware County (912) 287-4271
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS
Pharmacy (Institutional Pharmacy)
1900 TEBEAU STREET
WAYCROSS, GA 31501
Ware County (912) 287-2640

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 James Kisselburg's NPI number?

The NPI number for James Kisselburg is 1841434255. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is James Kisselburg located?

James Kisselburg practices at 1900 Tebeau Street, Waycross, GA 31501. The listed phone number is (912) 338-6438.

What is James Kisselburg's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Kisselburg enrolled in Medicare?

Yes. James Kisselburg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Kisselburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kisselburg reassigns Medicare benefits to 8 organizations: Mayo Clinic Health System In Waycross, Inc. (Waycross, GA), Southland Dodge Emergency Medical Services, LLC (Eastman, GA), Southland Emergency Medical Services Consolidated, LLC (Cochran, GA), Southland Cochran Emergency Medical Services, LLC (Cocharan, GA), Southland Optim Jenkins Emergency Medical Services, LLC (Millen, GA) and 3 more organizations, listed in the Medicare section above. Each 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 James Kisselburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Kisselburg affiliated with any hospitals?

According to CMS data, James Kisselburg is affiliated with Bleckley Memorial Hospital and Liberty Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Kisselburg was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.