Kimberly S Borris, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1042 Issued in TN

Practice address

1031 W Madison Ave
Athens, TN 37303-3498

Phone

(423) 745-6575

NPI assigned

Jun 16, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TN

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

Specialty

Physician Assistant

Education

University of North Dakota School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Knoxville, TN, CCN 447142
• Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.borris.1@20785.direct.athenahealth.com

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.

• Summit Medical Group, PLLC

  dba Cool Springs Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment Care Compare group NPD
• Apogee Medical Group, Tennessee, P.C.

  • General Practice Physician
  • Lawrenceburg, TN
  • NPI 1578717682
  Medicare reassignment
• Summit Medical Group, PLLC

  dba Summit Express Clinic at Bearden Hill

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1942371398
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Regional Medical Center LLC

  dba Starr Regional Medical Center

  • General Acute Care Hospital
  • Athens, TN
  • NPI 1669567319
  Care Compare affiliation
• Camellia Home Health of East Tennessee, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Knoxville, TN
  • NPI 1346569811
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174528244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033498",
            "telephone_number": "423-745-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033498",
            "telephone_number": "423-745-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRIS",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA1042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Grayson Black II
• Savannah Blair
• Robert E Bledsoe Jr., M.D.
• Wyndham Alexander Bonett, MD
• Annie Borba
• William R Bowers, MD
• Samantha Nicole Bowling, PTA
• Ian Padraic Brady
• Kimberly Thompson Breeden, MD
• Caleb Michal Breese, CP

• Medical Physician Assistant in Athens, TN
• Providers in Athens, TN by specialty
• Medical Physician Assistant in Tennessee

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.