KENDRA SEAGRAVES NP
NPI 1962800771
Nurse Practitioner - Family in Richmond Hill, GA

Q: What is Kendra Seagraves's NPI number?

The NPI number for Kendra Seagraves is 1962800771. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Q: What is Kendra Seagraves's specialty?

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

Q: Is Kendra Seagraves enrolled in Medicare?

No. Kendra Seagraves has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kendra Seagraves was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 10, 2014Opted out of Medicare · through Oct 1, 2026

10055 FORD AVENUE, 3A, RICHMOND HILL, GA 31324(912) 819-9601(912) 819-9601 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, May 12, 2020 (2 updates tracked since 2020).

On this page

About Kendra Seagraves Np NPPES

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

KENDRA SEAGRAVES NP (NPI 1962800771) is an individual family provider in Richmond Hill, Georgia, licensed in Georgia (RN176789) and active in the NPI registry since December 2014. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962800771

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKENDRA SEAGRAVESCredential: NP

Location Address10055 FORD AVENUE, 3ARichmond Hill, GA 31324

Mailing Address836 E. 65th Street, Suite 22Savannah, GA 31405 · (912) 819-7878 · Fax (912) 819-3320

Phone(912) 819-9601

Fax(912) 819-9601

Sole ProprietorNo

Enumeration DateDecember 10, 2014

Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration

NPPES CertifiedDecember 8, 2020

✔ NPI 1962800771 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

License✔ Licensed in GA · RN176789

10055 FORD AVENUE, Richmond Hill, GA 31324

Open in Google Maps ↗

Other Identifiers 1

Medicaid003158883DGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kendra Seagraves Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31324 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

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

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

DR. RUSSELL WILLIAM LAKE MD

Family Medicine

10055 FORD AVENUE, SUITE 3A
RICHMOND HILL, GA 31324

Bryan County (912) 819-9601

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 Kendra Seagraves's NPI number?

The NPI number for Kendra Seagraves is 1962800771. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is Kendra Seagraves located?

Kendra Seagraves practices at 10055 Ford Avenue 3A, Richmond Hill, GA 31324. The listed phone number is (912) 819-9601.

What is Kendra Seagraves's specialty?

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

Is Kendra Seagraves enrolled in Medicare?

No. Kendra Seagraves has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kendra Seagraves was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.