Individual provider Active NPI

Kimberly Koye Parker, NP

  • Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1215935036
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP117408 Issued in GA
Practice address
1150 Golden Way
Watkinsville, GA 30677-7712
Phone
(706) 612-9401
Fax
(706) 612-9420
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP117408 GA Primary

Addresses

Primary practice location

1150 Golden Way
Watkinsville, GA 30677-7712

Mailing address

1150 Golden Way
Watkinsville, GA 30677-7712
Phone (706) 612-9401

Other practice location 1

644 N Chase St Ste 105
Athens, GA 30601-1960
Phone (706) 612-9401

Other identifiers 1

IdentifierTypeStateIssuer
000851694GMedicaidGA

Other names 1

  • Kimberly Koye Hilton Parker Professional name

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
I20111116000013 GA Practitioner - Nurse Practitioner 5395919047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Area Urology PCGroup PAC ID 0446491641, 18 clinicians

Practice addresses (Care Compare)

1150 Golden Way
Watkinsville, GA 30677-7712
Phone (706) 612-9401

1740 Lions Club Rd
Suite 200
Madison, GA 30650-4762
Phone (706) 612-9401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP117408GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Area Urology, PC CurrentSince Jun 1, 2013 Accepting new patients

Locations

2142 W Broad St
Bldg 200
Athens, GA 30606
Phone (706) 548-6881

644 N Chase St
Ste 105
Athens, GA 30601

1740 Lions Club Rd
Ste 200
Madison, GA 30650
Phone (706) 597-0102

930 Franklin Springs St
Royston, GA 30662
Phone (706) 246-9729

1150 Golden Way
Watkinsville, GA 30677
Phone 8888180563300

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 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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1215935036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GOLDEN WAY",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777712",
            "telephone_number": "706-612-9401",
            "fax_number": "706-612-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GOLDEN WAY",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777712",
            "telephone_number": "706-612-9401",
            "fax_number": "706-612-9420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 N Chase St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306011960",
            "country_code": "US",
            "telephone_number": "706-612-9401",
            "fax_number": "706-612-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KIMBERLY",
        "middle_name": "KOYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP117408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000851694G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PARKER",
            "middle_name": "KOYE HILTON",
            "credential": "APNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.