KIMBERLY ANN CARROLL (NPI# 1609496058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609496058 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN CARROLL |
| Credential | PA-C |
| Practice Address |
3240 Northeast Expy Ne Atlanta GA 30341-4003 |
| Mailing Address |
625 Old Peachtree Rd Nw Department of Physician Assistant Studies Suwanee GA 30024 |
| Practice Telephone | 4044809330 |
| Mailing Telephone | 6306782257 |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 Old Peachtree Rd Nw, Department of Physician Assistant Studies, Suwanee, GA 30024 | 6782257548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407181191 | Kimberly M Carroll | Physical Therapist | 961687 Gateway Blvd Ste 101a, Fernandina Beach, FL 32034-9158 | 2009-10-13 |
| 1801033287 | Kimberly Louise Carroll | Pharmacist | 3921 Garrett Springs Dr, Powder Springs, GA 30127-3556 | 2009-01-07 |
| 1679655211 | Kimberly A Carroll | Speech-Language Pathologist | 5 Flintlock Rd, Salem, NH 03079-3266 | 2006-10-20 |
| 1649270869 | Kimberly Carroll | Obstetrics & Gynecology | 809 Cleveland Ave Sw, Atlanta, GA 30315-7108 | 2005-07-29 |
| 1225532062 | Kimberly Dawn Carroll | Counselor | 220 Clay Dr, Pounding Mill, VA 24637-4320 | 2018-03-19 |
| 1225589765 | Kimberly Carroll | Counselor | 516 Beltrami Ave Nw, Bemidji, MN 56601-3010 | 2016-10-19 |
| 1104375567 | Kimberly Carroll | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2016-09-27 |
| 1689035750 | Kimberly Carroll | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-16 |
| 1144619347 | Kimberly Carroll | Occupational Therapist | 350 Old Gilkeson Rd, Pittsburgh, PA 15228-1063 | 2015-01-12 |
| 1659704260 | Kimberly Carroll | Social Worker | 421 Fallsway, Baltimore, MD 21202-4800 | 2013-08-19 |
| Street Address |
3240 NORTHEAST EXPY NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30341-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275094310 | Mariolino Da Graca Fernandes | Orthopaedic Surgery | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-03-29 |
| 1568003929 | Alexandra Christine Parker | Physician Assistant | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-10-07 |
| 1922652437 | Justin Nixon | Specialist/Technologist | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
| Find all providers in zip 30341 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1083227821 | Jessica Haley Senft | Physician Assistant | 4274 Olde Mill Ln Ne, Atlanta, GA 30342-3400 | 2020-08-30 |
| 1801405758 | Philip Sangster | Physician Assistant | 3485 Greystone Cir, Atlanta, GA 30341-5854 | 2020-07-27 |
| 1114544525 | Nicole Warner | Physician Assistant | 1100 Faith Ave Se, Atlanta, GA 30316-1504 | 2020-07-01 |
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1972125557 | Karen Charisse Forbes | Physician Assistant | 1600 Clifton Rd Ne # H16-1, Atlanta, GA 30329-4018 | 2020-05-17 |
| 1588290316 | Julie Teresa Lovelly | Physician Assistant | 1220 Caroline St Ne Ste A-230, Atlanta, GA 30307-2749 | 2020-03-12 |
| 1104463645 | Hannah Elyse Galvan | Physician Assistant | 550 Peachtree St Ne Bldg Rm3245a, Atlanta, GA 30308-2247 | 2019-12-03 |
| Find all providers in ATLANTA | ||||
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| 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.