Individual provider Active NPI

Kimberly Cross, M.D.

  • Obstetrics & Gynecology Physician
  • Newnan, GA
National Provider Identifier
1093009383
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
075773 Issued in GA
Practice address
775 Poplar Rd
Suite 210
Newnan, GA 30265-8300
Phone
(770) 991-2200
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 075773 GA Primary

Addresses

Primary practice location

775 Poplar Rd
Suite 210
Newnan, GA 30265-8300

Mailing address

775 Poplar Rd
Suite 210
Newnan, GA 30265-8300
Phone (770) 991-2200

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
I20160526000610 GA Practitioner - Obstetrics/Gynecology 4880984210 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DHP of Piedmont PCGroup PAC ID 9133378763, 18 clinicians
Southern OB GYN Associates P CGroup PAC ID 8729059043, 17 clinicians

Practice addresses (Care Compare)

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

220 Northside Dr
Valdosta, GA 31602-1858
Phone (229) 241-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
075773GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Aug 15, 2025 Accepting new patients
The Southeast Permanente Medical Group Obstetrics & Gynecology CurrentSince Jul 30, 2018 Accepting new patients
Southern Crescent Women's Healthcare PC Obstetrics & Gynecology CurrentSince May 1, 2016 Accepting new patients
Southern OB GYN Associates P C Obstetrics & Gynecology CurrentSince Feb 1, 2021 Accepting new patients
DHP of Piedmont PC Obstetrics & Gynecology CurrentSince Dec 19, 2024 Accepting new patients
South Georgia Medical Center Inc Past Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Past Accepting new patients
Women's Community Care, PC Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1279 Highway 54 W
Ste 220
Fayetteville, GA 30214
Phone (770) 991-2200

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3645

775 Poplar Rd
Ste 210
Newnan, GA 30265
Phone (770) 991-2200

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Interoperability endpoints

  • Direct secure messaging: kimberlycross@sobgyn.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1093009383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 210",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658300",
            "telephone_number": "770-991-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 210",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658300",
            "telephone_number": "770-991-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "075773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.