Kim Elaine Schmitt, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

86917 Issued in GA

Practice address

3855 Pleasant Hill Rd Ste 420
Duluth, GA 30096-8030

Phone

(770) 495-1955

Fax

(770) 232-9961

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, GA2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1063486546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD STE 420",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968030",
            "telephone_number": "770-495-1955",
            "fax_number": "770-232-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD STE 420",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968030",
            "telephone_number": "770-495-1955",
            "fax_number": "770-232-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 4th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "95404",
            "country_code": "US",
            "telephone_number": "707-523-7025",
            "fax_number": "707-523-3024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Medical Park East Dr",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35235",
            "country_code": "US",
            "telephone_number": "205-838-3747",
            "fax_number": "205-838-3324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "KIM",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G161068",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "ACS11006",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "86917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Satterwhite, D.C., C.C.E.P.
• Carla Coomes Schafer, RPH
• Schertell Family Enterprises Inc.
• Mary Elizabeth Schilling, LPC
• Maytal Schmidt
• Jennifer N Schoeppler
• Deborah Schulte Long, CFNP
• Steven Jeffrey Schwartz, M.D.
• Deborah L Scopp, LCSW
• Camryn Elisa Scott

• Otolaryngology Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.