Kimberly N Hodge-Spears, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

60084 Issued in GA

Practice address

3625 Savannah PL Ste 101a-B
Duluth, GA 30096-6376

Phone

(770) 707-4018

Fax

(770) 785-4488

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGHCCD/Endpoint/HGHCCD

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.

• Gim Enterprises LLC

  • Pediatrics Physician
  • Duluth, GA
  • NPI 1275138349
  NPD Authorized official
• Family Health & Wellness Centers of Georgia, LLC

  • Primary Care Clinic/Center
  • Berkeley Lake, GA
  • NPI 1386022184
  NPD (past)
• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1083762025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 SAVANNAH PL STE 101A-B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966376",
            "telephone_number": "770-707-4018",
            "fax_number": "770-785-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 SAVANNAH PL STE 101A-B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966376",
            "telephone_number": "770-707-4018",
            "fax_number": "770-785-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE-SPEARS",
        "first_name": "KIMBERLY",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "60084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yarden Hixson, MS OTR/L
• Yen Ho
• Nhung Hoang
• Phuong My Hoang, PHARM.D.
• Laura Elizabeth Hobbs, NP
• Susan Hoffman
• Aljoscha Rae Holeman
• Tamika Holland, LPC
• Tracy Holmberg, RN
• Willisha Holmes-Rackley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.