Individual provider Active NPI

Kimberly Carlton, M.D.

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1174733455
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD021987 Issued in TN
Practice address
975 E 3Rd St
Chattanooga, TN 37403-2103
Phone
(423) 778-2957
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD021987 TN Primary

Addresses

Primary practice location

975 E 3Rd St
Chattanooga, TN 37403-2103

Mailing address

3828 Windtree Dr
Signal Mountain, TN 37377-1269
Phone (423) 886-1391

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090701000435 TN Practitioner - Internal MedicinePractitioner - Family Practice 2264583376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Health Alliance PCGroup PAC ID 7911895412, 11 clinicians

Practice addresses (Care Compare)

725 Glenwood Dr
E480
Chattanooga, TN 37404-1173
Phone (423) 756-5779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD021987TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health Alliance PC Family Medicine CurrentSince Sep 20, 2010 Accepting new patients

Locations

979 E 3rd St
Ste 601
Chattanooga, TN 37403
Phone (423) 756-8871

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

725 Glenwood Dr
Ste E480
Chattanooga, TN 37404
Phone (423) 629-1491

2051 Hamill Rd
Ste 103
Hixson, TN 37343
Phone (423) 756-8871

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174733455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 WINDTREE DR",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373771269",
            "telephone_number": "423-886-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032103",
            "telephone_number": "423-778-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD021987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.