Gim Enterprises LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GIM ENTERPRISES LLC

Practice address

3625 Savannah PL Ste 101a
Duluth, GA 30096-6376

Phone

(770) 707-4018

Fax

(770) 785-4488

NPI assigned

Dec 4, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly Hodge-Spears, MDNPI 1083762025

Title

Pediatrician

Phone

(770) 707-4018

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Family Wellness MD Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly N Hodge-Spears, MD

  • Pediatrics Physician
  • Duluth, GA
  • NPI 1083762025
  NPD Authorized official
• Ashley Nicole Bryant, CPNP-PC

  • Pediatric Nurse Practitioner
  • Stone Mountain, GA
  • NPI 1679293260

  Single Specialty

  NPD (past)
• Nadia Deborah Taylor, M.D.

  • Pediatric Hematology & Oncology Physician
  • Hollywood, FL
  • NPI 1689774382

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1275138349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 N BERKELEY LAKE RD NW STE 101",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300964367",
            "telephone_number": "770-707-4018",
            "fax_number": "770-785-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 SAVANNAH PL STE 101A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966376",
            "telephone_number": "770-707-4018",
            "fax_number": "770-785-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIM ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2023-04-24",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "HODGE-SPEARS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "770-707-4018",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174057335",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689774382",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083762025",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Wellness MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Wellness MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luvida Gibson
• James Drew Gilleland, LCSW
• Dana E Gillespie Webb, MD
• Elizabeth Jan Gillespie, CRNA
• Paula Gilman, RDN, LD, CDE
• Stephanie E. Ginn, OTR
• Megan Glasgow
• Laura Dunning Glazebrook, PT, DPT
• Jasmine Gleaton
• Glen C McIntosh D.D.S., P.C.

• Pediatrics Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.