Kimberly Rochelle Collins, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

52004 Issued in TN

Practice address

2711 Murfreesboro Pike Ste 201
Antioch, TN 37013-2000

Phone

(615) 915-2226

Fax

(629) 202-7956

NPI assigned

May 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Family PracticeAlso: Addiction Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dchkcollin@yourcarecommunity.org

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.

• Collins Family & Addiction Medicine, PLLC

  dba Blissful Addiction Recovery

  • Family Medicine Physician
  • Hermitage, TN
  • NPI 1457983546
  Medicare reassignment NPD Authorized official
• White County Physician Services Inc

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1417950122
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1033343728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 MURFREESBORO PIKE STE 201",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132000",
            "telephone_number": "615-915-2226",
            "fax_number": "629-202-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 MURFREESBORO PIKE STE 201",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132000",
            "telephone_number": "615-915-2226",
            "fax_number": "629-202-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KIMBERLY",
        "middle_name": "ROCHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "44474",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "52004",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "44474",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "MD52005",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "52004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100164440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Clark Jr., D.D.S.
• Julia Ann Clayton, CF, MS
• CMP Transport LLC
• Cynthia Cobb
• Nina Bryce Cobb, APRN PMHNP-BC
• Comforttransportaionllc
• Community Help Homecare LLC
• Companion Home Care LLC
• Compass Healthcare LLC
• Complete Senior Care Inc

• Addiction Medicine (Family Medicine) Physician in Antioch, TN
• Providers in Antioch, TN by specialty
• Addiction Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.

Verify at the official NPI Registry.