Individual provider Active NPI

Kimberly Hammett

  • Case Manager/Care Coordinator
  • Johns Creek, GA
National Provider Identifier
1174217780
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200
Phone
(888) 342-3885
Fax
(770) 288-9468
NPI assigned
Jun 6, 2023
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X NU
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200

Mailing address

11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200
Phone (888) 342-3885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Superb Quality Services Current Accepting new patients

Locations

11555 Medlock Bridge Rd
Ste 100
Johns Creek, GA 30097
Phone (678) 288-5448

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1174217780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 MEDLOCK BRIDGE RD STE 100",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973200",
            "telephone_number": "888-342-3885",
            "fax_number": "770-288-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 MEDLOCK BRIDGE RD STE 100",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973200",
            "telephone_number": "888-342-3885",
            "fax_number": "770-288-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMETT",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.