Kimble Care Medical Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KIMBLE CARE MEDICAL SERVICES

Practice address

3340 Oak Dr SE
Conyers, GA 30013-2354

Phone

(770) 881-7100

NPI assigned

Aug 25, 2021

Organization subpart

No

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

Authorized official

Name

Myia Kimble, CPI/MA/AEMTNPI 1841831211

Title

Owner Operator

Phone

(770) 899-7268

Specialties & licenses 1

Addresses

Other names 2

• KCMS Doing business as
• Kimble Care Staffing Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Myia Frances Kimble, MA, PHLEBOTOMIST

  • Clinical Medical Laboratory
  • Kennesaw, GA
  • NPI 1841831211
  NPD Authorized official

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1114694460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 OAK DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132354",
            "telephone_number": "770-899-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 OAK DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132354",
            "telephone_number": "770-881-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBLE CARE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "MYIA",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "770-899-7268",
        "authorized_official_credential": "CPI/MA/AEMT"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kimble Care Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kids Speech and OT
• Daniel Mark Kim
• Jin Moo Kim
• Leeshah Kim
• Kimberly a Peters DMD PC
• Heavenly Kimes
• Kindcare Transportation LLC
• Aliyah Kindell, LPC
• King 1959, Inc.
• Helen King-Cox

• Primary Care Clinic/Center in Conyers, GA
• Providers in Conyers, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.