Active NPI
Philip O. Kimsey, M.D., IFMCP
- Family Medicine Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 039837
- Practice address
- 4607 Sherman Allen Way
Gainesville, GA 30507-8866 - Phone
- (678) 936-6428
- Fax
- (888) 448-0893
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- 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 | 039837 | GA | Primary |
Addresses
Primary practice location
4607 Sherman Allen Way
Gainesville, GA 30507-8866
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00657819B | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | companyinfo@foothillsfm.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Family Medicine | Current | Accepting new patients |
| Vohra Wound Physicians of FL, LLC | Family Medicine | Past | Accepting new patients |
Locations
1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195
4919 Atlanta Hwy
Flowery Branch, GA 30542
Phone (770) 848-9160
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
950 S Enota Dr NE
Ste A
Gainesville, GA 30501
Phone (678) 450-8969
1292 Athens St
Gainesville, GA 30507
Phone (770) 219-9400
Interoperability endpoints
- companyinfo@foothillsfm.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Family Medicine Physician
- Richmond, VA
- NPI 1205130911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1033101357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4607 SHERMAN ALLEN WAY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305078866",
"telephone_number": "678-936-6428",
"fax_number": "888-448-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMSEY",
"first_name": "PHILIP",
"middle_name": "O.",
"credential": "M.D., IFMCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "039837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00657819B",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "companyinfo@foothillsfm.net",
"affiliation": "N",
"endpointDescription": "Direct email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4607 Sherman Allen Way",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305078866",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.