Individual provider Active NPI

Kimberely J Windham-Cope, MD

  • Diagnostic Radiology Physician
  • Macon, GA
National Provider Identifier
1063447902
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
040817 Issued in GA
Practice address
350 Hospital Dr
Macon, GA 31217-3838
Phone
(478) 765-7000
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 040817 GA Primary

Addresses

Primary practice location

350 Hospital Dr
Macon, GA 31217-3838

Mailing address

3480 Preston Ridge Rd Ste 600
Credentialing Dept
Alpharetta, GA 30005-5462
Phone (770) 300-0101

Other practice location 1

638 441 Historic Hwy N
Suite D
Demorest, GA 30535-4566
Phone (706) 754-9900

Other practice location 2

200 W Academy Street
Gainesville, GA 30501
Phone (770) 282-8820

Other identifiers 3

IdentifierTypeStateIssuer
000828858CMedicaidGA
P00365112OtherGARAILROAD MEDICARE
003163454BHMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000324 GA Practitioner - Diagnostic Radiology 4688606080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians
Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians

Practice addresses (Care Compare)

1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 535-3553

Hospital & facility affiliations

  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

Merit-based Incentive Payment System (MIPS)

Final score
43.55 of 100Reported as group
Quality
36.83
Improvement activities
20
Cost
52.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040817GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice of Habersham PC Current Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Piedmont Professional Services, LLC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Family Practice of Habersham PC Current Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients
Piedmont Medical Care Corporation Family Medicine Past Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

3425 Buford Dr
Ste 100
Buford, GA 30519
Phone (678) 765-6060

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

108 Prominence Ct
Ste 120
Dawsonville, GA 30534
Phone (706) 344-6944

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

3137 Frontage Rd
Gainesville, GA 30504
Phone (770) 219-0500

1250 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Phone (770) 531-2444

200 W Academy St NW
Gainesville, GA 30501
Phone (770) 800-0041

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

316 N Broad St
Ste 230
Winder, GA 30680

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1063447902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 PRESTON RIDGE RD STE 600",
            "address_2": "CREDENTIALING DEPT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055462",
            "telephone_number": "770-300-0101",
            "fax_number": "770-300-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173838",
            "telephone_number": "478-765-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 441 Historic Hwy N",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354566",
            "country_code": "US",
            "telephone_number": "706-754-9900",
            "fax_number": "706-754-4548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Academy Street",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "770-282-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDHAM-COPE",
        "first_name": "KIMBERELY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "040817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000828858C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00365112",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003163454BH",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.