Paul Michael Kimmell, M.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

02483 Issued in GA

Practice address

2801 Buford Hwy NE
Suite 260
Atlanta, GA 30329-2149

Phone

(404) 321-2977

Fax

(404) 321-0311

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Paul M. Kimmell M.D. PC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1568807790
  NPD Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144433350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE",
            "address_2": "SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292149",
            "telephone_number": "404-321-2977",
            "fax_number": "404-321-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE",
            "address_2": "SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292149",
            "telephone_number": "404-321-2977",
            "fax_number": "404-321-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMELL",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "02483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kimbrel
• Chanelle Kimbrough
• Diana Kimbrough, PMHNP
• Suzanne Kimbrough, L.P.C.
• Daryl Ruth Kimche, DDS
• William Scott Kimmerly, M.D.
• James Kimura, D.C.
• Stephen Takashi Kimura, MD
• Amy Cupples Kinard, NP-C
• Meghan Jayne Kinard

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.