DR. KIMBERLYNN R RICHARDS (NPI# 1760401756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760401756 |
Entity Type | Individual |
Full Name | DR. KIMBERLYNN R RICHARDS |
Credential | M.D. |
Practice Address |
3634 Highlands Pkwy Se Smyrna GA 30082-5184 |
Mailing Address |
1865 Lyon Ave Sw Atlanta GA 30331-8450 |
Practice Telephone | 7708010980 |
Practice Fax Number | 7708019039 |
Mailing Telephone | (404) 272-1724 |
Mailing Fax Number | 4043446155 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2017-06-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
038930 | GA | Allopathic & Osteopathic Physicians |
Street Address |
3634 HIGHLANDS PKWY SE |
City | SMYRNA |
State | GA |
Zip Code | 30082-5184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
Find all providers in zip 30082 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437502143 | Whole and Healthy Youth, LLC | Internal Medicine | 3200 Highlands Pkwy Se, Suite 400, Smyrna, GA 30082-5166 | 2016-07-18 |
1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669026837 | Barry Howard Lubin | Internal Medicine | 1150 Collier Rd Nw Apt H20, Atlanta, GA 30318-2938 | 2019-07-26 |
1558887018 | Miguel E. Stubbs, Md PC | Internal Medicine | 4760 Austell Rd Ste 1, Austell, GA 30106-2007 | 2017-08-16 |
1336167600 | Shawn Ray Williams | Internal Medicine | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2006-07-17 |
1245748771 | Emanuel Counseling Services, Inc | Internal Medicine | 105 Warren Ave, Swainsboro, GA 30401-3645 | 2018-01-18 |
1295288124 | Peach Medical Systems Associates LLC | Internal Medicine | 4500 N Point Pkwy, Alpharetta, GA 30022-2409 | 2016-07-27 |
1356797666 | Mat Georgia, LLC | Internal Medicine | 335 Roselane St Nw, Suite 203, Marietta, GA 30060-7902 | 2016-05-05 |
1275945909 | Alisha Goodrum | Internal Medicine | 101 Quartz Dr Ste 201, Villa Rica, GA 30180-3256 | 2014-05-29 |
1659537165 | Emory Medical Care Foundation Inc | Internal Medicine | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
1205928355 | Daniel Ray Gaskin, Jr. | Internal Medicine | 315 Commercial Dr, Suite B-3, Savannah, GA 31406-3628 | 2006-09-28 |
1285726315 | Daniel Ray Gaskin, Jr., M.d. | Internal Medicine | 315 Commercial Dr, Suite B3, Savannah, GA 31406-3628 | 2006-09-28 |
Find all providers with the same taxonomy |
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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.