Individual provider Active NPI

Kimberly New Parker, FNP, RN

  • Family Nurse Practitioner
  • Jasper, GA
National Provider Identifier
1174262729
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN144487 Issued in GA
Practice address
51 Gordon Rd
Jasper, GA 30143-7104
Phone
(706) 692-9768
NPI assigned
Jun 1, 2022
Last updated
Nov 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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 RN144487 GA Primary

Addresses

Primary practice location

51 Gordon Rd
Jasper, GA 30143-7104

Mailing address

52 Brown Thrasher CT
Jasper, GA 30143-7612
Phone (706) 669-6034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.parker@prestigemedicalgroup.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221115003141 GA Order and Referring Only - Nurse Practitioner 3274901665

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

51 Gordon Rd
Suite 201
Jasper, GA 30143-7104

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Jasper, PC CurrentSince Jul 16, 2026 Accepting new patients

Locations

51 Gordon Rd
Ste 201
Jasper, GA 30143
Phone 70669297684002

12020 Etris Rd
Ste B110
Roswell, GA 30075

Interoperability endpoints

  • Direct secure messaging: kimberly.parker@prestigemedicalgroup.org

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.

Hospital & facility affiliations 2

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1174262729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BROWN THRASHER CT",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437612",
            "telephone_number": "706-669-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GORDON RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437104",
            "telephone_number": "706-692-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KIMBERLY",
        "middle_name": "NEW",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN144487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.parker@prestigemedicalgroup.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "51 Gordon Rd",
            "city": "Jasper",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301437104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.