Kimberly P Champney
NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC


Address: 980 Johnson Ferry Rd, Suite 305, Marietta, GA 30068-4229
Phone: 7703438405

Kimberly P Champney (NPI# 1881740959, PAC ID# 7719072487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1881740959
PAC ID by PECOS 7719072487
Professional Enrollment ID I20070927000018
Full Name Kimberly P Champney
Organization Legal Name NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC
Address 980 Johnson Ferry Rd
Suite 305
Marietta
GA 30068-4229
Phone Number 7703438405
Gender F
Medical School MEDICAL COLLEGE OF GEORGIA
Graduation Year 2000
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Group Practice PAC ID 9739189838
Number of Group Practice Members 44
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110161 NORTHSIDE HOSPITAL
110005 NORTHSIDE HOSPITAL FORSYTH
110082 SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC

Other Locations

Address Phone Organization
993 Johnson Ferry Rd, Suite C120, Atlanta, GA 30342-4748 4047807860 NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC
980 Johnson Ferry Rd, Suite 305, Marietta, GA 30068-4229 7703438405 NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 29%

Organization Information

Organization Legal Name NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC
Physicians 43

Physicians with the same organization

Name Specialty Organization Address
Max M Benson Interventional Cardiology Northside Cardiovascular Professional Services,llc 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041
Stacy Ann Cartmell Nurse Practitioner Northside Cardiovascular Professional Services,llc Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115
Rebecca Radke Nurse Practitioner Northside Cardiovascular Professional Services,llc 993 Johnson Ferry Rd, Suite C120, Atlanta, GA 30342-4748
Mary E Bergh Cardiovascular Disease (cardiology) Northside Cardiovascular Professional Services,llc 1285 Upper Hembree Rd, Roswell, GA 30076-1143
Niraj Sharma Cardiovascular Disease (cardiology) Northside Cardiovascular Professional Services,llc 3000 Hospital Blvd, Roswell, GA 30076-4915
Faresa Z Weragoda Cardiovascular Disease (cardiology) Northside Cardiovascular Professional Services,llc 4800 Olde Towne Pkwy, Suite 420, Marietta, GA 30068-4424
Yirima Simon Physician Assistant Northside Cardiovascular Professional Services,llc 1285 Upper Hembree Rd, Roswell, GA 30076-1143
Lois A Fairfield Nurse Practitioner Northside Cardiovascular Professional Services,llc 3000 Hospital Blvd, Roswell, GA 30076-4915
Aashish Desai Interventional Cardiology Northside Cardiovascular Professional Services,llc Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115
Carolyn M Moore Nurse Practitioner Northside Cardiovascular Professional Services,llc 1285 Upper Hembree Rd, Roswell, GA 30076-1143

Office Location

Street Address 980 JOHNSON FERRY RD
SUITE 305
City MARIETTA
State GA
Zip 30068-4229

Physicians in the same location

Name Specialty Organization Address
Nitin K Gupta Gastroenterology Aga, LLC 980 Johnson Ferry Rd, Suite 820, Atlanta, GA 30342-1608
Paul Sutej Rheumatology Articularis Healthcare Group Inc 980 Johnson Ferry Rd, Atlanta, GA 30342-1626
Bradley S Davidson General Surgery Northside Surgical Professional Services LLC 980 Johnson Ferry Rd, Suite 940, Atlanta, GA 30342-1609
Anisa B Threlkeld Ophthalmology 980 Johnson Ferry Rd, Suite 550, Atlanta, GA 30342-1608
Gary E Myerson Rheumatology Articularis Healthcare Group Inc 980 Johnson Ferry Rd, Atlanta, GA 30342-1626
Paula A Tanasa Rheumatology Articularis Healthcare Group Inc 980 Johnson Ferry Rd, Atlanta, GA 30342-1626
Adam Joseph Leaderman Internal Medicine Laureate Medical Group At Northside, LLC 980 Johnson Ferry Rd, Suite 490, Atlanta, GA 30342-1668
Mark G Friedman Internal Medicine Laureate Medical Group At Northside, LLC 980 Johnson Ferry Rd, Suite 490, Atlanta, GA 30342-1668
Margaret E Mccann Nurse Practitioner Northside Surgical Professional Services LLC 980 Johnson Ferry Rd, Suite 170, Atlanta, GA 30342-1607
Samuel E Webster Infectious Disease 980 Johnson Ferry Rd, Suite 250, Atlanta, GA 30342-1615
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Physicians in the same zip code

Name Specialty Organization Address
James A Biga Physical Therapy 1230 Johnson Ferry Pl, H20, Marietta, GA 30068-2057
Sinan N Feidy Chiropractic 1230 Johnson Ferry Pl, Suite G30, Marietta, GA 30068-2058
Elbert H Cardwell Chiropractic 1230 Johnson Ferry Pl, G30, Marietta, GA 30068-2058
Nicole L Mosley Nurse Practitioner Hcr Manor Care Medical Services of Florida LLC 4360 Johnson Ferry Pl, Marietta, GA 30068-2063
Christie E Parker Nurse Practitioner Hcr Manor Care Medical Services of Florida LLC 4360 Johnson Ferry Pl, Marietta, GA 30068-2063
Jonathan M.c. Threadgill Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100
Christopher Hugh Kragor Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100
Joseph W Slaughter Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100
Jorge A Gonzalez-ocasio Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100
Donald Ray Nunn Plastic and Reconstructive Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100
Find all physicians in zip 30068

Competitor

Search similar physicians

City MARIETTA
Zip Code 30068
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty MARIETTA + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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