DR. BLAKE STEVEN KIMBRELL


Address: 150 Nacoochee Ave, Athens, GA 30601-1823
Phone: 7065467908

DR. BLAKE STEVEN KIMBRELL (NPI# 1144545096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144545096
Entity Type Individual
Full Name DR. BLAKE STEVEN KIMBRELL
Credential M.D.
Practice Address 150 Nacoochee Ave
Athens
GA 30601-1823
Practice Telephone 7065467908
Practice Fax Number 7065461944
Mailing Telephone 7065467908
Mailing Fax Number 7065461944
Enumeration Date 2010-04-05
Last Update Date 2017-01-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 75683 GA Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology 0101258556 VA Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology 262561 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 003176590A 05

Office Location

Street Address 150 NACOOCHEE AVE
City ATHENS
State GA
Zip Code 30601-1823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508868365 Philip Anderson Sheffield Specialist 150 Nacoochee Ave, Athens, GA 30601-1823 2005-08-11
1356950810 Erin Steele Audiologist 150 Nacoochee Ave, Athens, GA 30601-1823 2020-07-30
1750864732 Haley Taylor Peeples Physician Assistant 150 Nacoochee Ave, Athens, GA 30601-1823 2018-09-14
1326561846 Allison Morton Audiologist 150 Nacoochee Ave, Athens, GA 30601-1823 2017-07-18
1184060337 Christian H Barnes Otolaryngology 150 Nacoochee Ave, Athens, GA 30601-1823 2013-05-15
1437469947 Kirstin Cox Luffler Audiologist 150 Nacoochee Ave, Athens, GA 30601 2010-10-18
1063746709 Charles M. Mixson, M.d., P.C. Otolaryngology 150 Nacoochee Ave, Athens, GA 30601-1823 2009-09-29
1780844639 Elizabeth Hoddeson Katz Otolaryngology 150 Nacoochee Ave, Athens, GA 30601-1823 2008-06-13
1619137981 Philip A Sheffield Md PC Otolaryngology 150 Nacoochee Ave, Athens, GA 30601-1823 2008-06-11
1326208893 J. Edward Dempsey, M.d., P.C. Otolaryngology 150 Nacoochee Ave, Athens, GA 30601-1823 2008-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154971679 Classic City Counseling & Consultation LLC Psychologist 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 2019-09-17
1982172433 Smith Dental Care of Athens Inc. Clinic/Center 801 Us Highway 29 North, Athens, GA 30601 2018-11-02
1356865935 Elizabeth Anne Price Pharmacist 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 2017-07-26
1386011575 Janna Barham Cleveland Nurse Practitioner 496 Reese Street, Athens, GA 30601 2015-08-24
1295113769 Brent Dillin Temple Case Manager/Care Coordinator 9249 Highway 29 North, Athens, GA 30601 2015-05-15
1356736417 Brett Magner Family Medicine 855 W Broad St Ste 1, Athens, GA 30601 2015-04-05
1619397478 The Kroger Co Durable Medical Equipment & Medical Supplies 700 Highway 29 N, Athens, GA 30601 2014-04-21
1972921021 Issa Papiss Bagayogo Psychiatry & Neurology 297 Prince Avenue Suite 28a, Athens, GA 30601 2014-04-04
1447682083 Brittany Lynn Lowery Counselor 250 Bray Street, Athens, GA 30601 2013-08-06
1417194135 Carey Kirk Counselor 295 Mles St, Athens, GA 30601 2009-01-16
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053553990 Clinton Alexander Ashford Otolaryngology 1000 Hawthorne Ave Ste K, Athens, GA 30606-2168 2009-03-24
1255481123 Dan Keech Md Pa Otolaryngology 1701 S Palestine St Ste B, Athens, TX 75751-8951 2007-01-11
1871683615 Robert F. Gomez Otolaryngology 700 Sunset Dr Ste 104, Athens, GA 30606-2287 2006-10-13
1073507356 Foy Burton Mitchell Jr. Otolaryngology 719 Cook Dr, Suite 101, Athens, TN 37303-3495 2005-09-01
1437578879 Ashford Clinic, LLC Otolaryngology 1000 Hawthorne Ave, Suite T, Athens, GA 30606-2168 2014-04-14
1184060337 Christian H Barnes Otolaryngology 150 Nacoochee Ave, Athens, GA 30601-1823 2013-05-15
1003100082 Chad Robert Keller Otolaryngology 2131 E State St, Athens, OH 45701-2138 2011-06-07
1780844639 Elizabeth Hoddeson Katz Otolaryngology 150 Nacoochee Ave, Athens, GA 30601-1823 2008-06-13
1487849634 Athens Ent & Allergy Center, LLP Otolaryngology 1701 S Palestine St Ste B, Athens, TX 75751-8951 2007-09-11
1336346519 Byron Kit Norris Otolaryngology 150 Nacoochee Ave, Athens, GA 30601-1823 2007-06-29
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City ATHENS
Zip Code 30601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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