Active NPI
Kimberly Lynn Pickett, M.D.
- Family Medicine Physician
- Hixson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0000050418
- Practice address
- 2051 Hamill Rd Ste 210
Hixson, TN 37343-4653 - Phone
- (423) 870-1999
- NPI assigned
- Jul 8, 2010
- Last updated
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD0000050418 | TN | Primary |
Addresses
Primary practice location
2051 Hamill Rd Ste 210
Hixson, TN 37343-4653
Mailing address
PO Box 80426
Chattanooga, TN 37414-7426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
4055 Valley View LN
Suite 700
Dallas, TX 75244-5045
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000050418 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DX Mso, PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Family Medicine | Current | Accepting new patients |
| Memorial Health Partners Foundation, Inc | Family Medicine | Current | Accepting new patients |
Locations
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426
1017 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 495-9581
2051 Hamill Rd
Ste 210
Hixson, TN 37343
Phone (423) 877-1213
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
Networks
- MS PPO
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- MS PPO C-SNP
- KY PPO
- TN PPO C-SNP
- MS PPO D-SNP
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- KY PPO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
Family Medicine
-
dba CHI Memorial Family Practice Associates - Lafayette
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1003128893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80426",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374147426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 HAMILL RD STE 210",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434653",
"telephone_number": "423-870-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000050418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
- Connie Denise Smith Petty, FNP-C
- David J Phillips, MD
- Dorothy Joann Phillips, PTA
- Melissa Gayle Phillips, LMT, MMP.
- Susan Lynn Currie Philpott, OT (
- James WM. Pifer, BSPHARM,DPM,JD
- Richard W Pigg, MD
- Elizabeth A Pillow
- Pink Skies Wellness (Nashville Brain Institute of Chattanooga)
- Christina Marie Pish, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.