Kimberly Balie, RPSGT

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

11153

Practice address

2540 Windy Hill Rd SE
Marietta, GA 30067-8605

Phone

(470) 644-1778

Fax

(770) 644-1759

NPI assigned

Apr 15, 2022

Last updated

Apr 15, 2022By 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

Other names 1

• Kimberly Jackson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1184367377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONDON LN",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301415455",
            "telephone_number": "828-980-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WINDY HILL RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678605",
            "telephone_number": "470-644-1778",
            "fax_number": "770-644-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIE",
        "first_name": "KIMBERLY",
        "credential": "RPSGT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": "11153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim.balie@wellstar.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2540 Windy Hill Rd SE",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300678605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JACKSON",
            "credential": "RPSGT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amirhoshang Bakhtiarydavijani
• Christopher Throan Bakke, D.M.D.
• Shangeetha Balakumar, MD
• Balancing Life Psychology
• Natasha Balbas
• Casey Lewis Balkema, D.O.
• Alison G. Ball, M.D.
• Sameerah Ball, NP
• David C Ballard, III III, MD
• Jeffery B Ballard, DMD

• Other Specialist/Technologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Other Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.