Kimberly Farr, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN094721 Issued in GA

Practice address

2098 Teron Trce Ste 300
Dacula, GA 30019-1667

Phone

(770) 614-4060

Fax

(678) 482-7788

NPI assigned

Dec 14, 2016

Sex

Female

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: ms_kfarr8@landmarkhealth-direct.org

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.

• Personal Primary Care of Georgia

  • Primary Care Nurse Practitioner
  • Dacula, GA
  • NPI 1184215428
  NPD Authorized official

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1154865814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CANDLER PARK DR",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306803272",
            "telephone_number": "678-315-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 TERON TRCE STE 300",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191667",
            "telephone_number": "770-614-4060",
            "fax_number": "678-482-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Kensington Aly",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305042689",
            "country_code": "US",
            "telephone_number": "678-315-9943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5391 Regency Lake Ct",
            "address_purpose": "LOCATION",
            "city": "Sugar Hill",
            "state": "GA",
            "postal_code": "305187840",
            "country_code": "US",
            "telephone_number": "678-315-9943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARR",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN094721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Home Care LLC
• Express Food and Pharmacy Inc
• Expressive Pediatric Therapy
• Mary Katherine Falletta-Swegman, DDS
• Andrew Farmer, PT
• Madyson A. Feit, SLP
• Christopher George Fenchak, PHARM D.
• Meg Ferdos, DMD
• Joshua Fernandes
• Emily Ferreira, MED, CCC-SLP

• Adult Health Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.