Individual provider Active NPI

Kimberly Lynn Pickett, M.D.

  • Family Medicine Physician
  • Hixson, TN
National Provider Identifier
1003128893
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000050418 Issued in TN
Practice address
2051 Hamill Rd Ste 210
Hixson, TN 37343-4653
Phone
(423) 870-1999
NPI assigned
Jul 8, 2010
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140505000620 TN Practitioner - Family Practice 1557594256 Reassigns benefits to 3 organizations
I20251209001902 AR Practitioner - Family Practice 1557594256 Reassigns benefits to 1 organization
I20251211001318 VA Practitioner - Family Practice 1557594256 Reassigns benefits to 1 organization

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 100Reported as apm
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

LicenseStateTypeSpecialty
MD0000050418TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Aug 1, 2016 Accepting new patients
Signify Health, LLC CurrentSince Nov 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine CurrentSince May 1, 2023 Accepting new patients
Memorial Health Partners Foundation, Inc Family Medicine CurrentSince May 1, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.