Individual provider Active NPI

Kim Carlos Farmer, FNP

  • Family Nurse Practitioner
  • Rome, GA
National Provider Identifier
1164049656
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN277524 Issued in GA
Practice address
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone
(706) 509-5000
NPI assigned
Jun 30, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN277524 GA Primary

Addresses

Primary practice location

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Mailing address

502 S Church St
Piedmont, AL 36272-2308
Phone (256) 294-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200828001911 GA Practitioner - Nurse Practitioner 8022435528 Reassigns benefits to 4 organizations
I20210603000651 AL Practitioner - Nurse Practitioner 8022435528 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee County Physicians LLCGroup PAC ID 3173860087, 14 clinicians

Practice addresses (Care Compare)

32 Roundtree Dr
Piedmont, AL 36272-5892
Phone (256) 447-4889

400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 927-5531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.36
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.9 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN277524GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Floyd Cherokee Medical Center LLC CurrentSince Dec 15, 2022 Accepting new patients
Floyd Cherokee Medical Center LLC CurrentSince Dec 15, 2022 Accepting new patients
Chattooga River Physicians, LLC CurrentSince Oct 1, 2023 Accepting new patients
Weiss Lake Hospitalists, LLC CurrentSince May 1, 2021 Accepting new patients
Etowah Emergency Physicians, LLC CurrentSince Jul 15, 2020 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Nov 1, 2020 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Dec 1, 2021 Accepting new patients
Floyd Healthcare Management Inc Family CurrentSince Dec 1, 2021 Accepting new patients
Cherokee County Physicians, LLC CurrentSince May 1, 2021 Accepting new patients
Etowah Emergency Physicians, LLC CurrentSince Jul 15, 2020 Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Centre Hospital Corporation Past Accepting new patients

Locations

395 Northwood Dr
Centre, AL 35960
Phone (256) 547-6331

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

32 Roundtree Dr
Piedmont, AL 36272
Phone (256) 238-1154

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1650 Chattahoochee Dr
Rockmart, GA 30153
Phone (770) 684-7846

302 Shorter Ave NW
Rome, GA 30165
Phone (706) 291-3700

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

11766 Highway 27
Summerville, GA 30747
Phone (706) 857-1010

13583 Highway 27
Trion, GA 30753
Phone (706) 238-8360

Interoperability endpoints

  • Direct secure messaging: cfarmer912945@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1164049656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CHURCH ST",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362722308",
            "telephone_number": "256-294-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "KIM",
        "middle_name": "CARLOS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN277524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.