NPIMap

Individual provider Active NPI

Kimberly M Kurtz, MD

  • Family Medicine Physician
  • Dahlonega, GA
National Provider Identifier
1285620450
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050815 Issued in GA
Practice address
1300 S Chestatee
Dahlonega, GA 30533-5503
Phone
(706) 867-6005
Fax
(706) 867-6012
NPI assigned
Sep 23, 2005
Last updated
Jul 8, 2007By the provider in NPPES
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 050815 GA Primary

Addresses

Primary practice location

1300 S Chestatee
Dahlonega, GA 30533-5503

Mailing address

1300 S Chestatee
Dahlonega, GA 30533-5503
Phone (706) 867-6005

Other identifiers 1

IdentifierTypeStateIssuer
00927605AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000839 GA Practitioner - Family Practice 7214988690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1300 S Chestatee
Dahlonega, GA 30533-5503

1300 S Chestatee St
Dahlonega, GA 30533-5503
Phone (706) 867-6005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions25
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Kurtz MD Inc Family Medicine CurrentSince Aug 3, 2003 Accepting new patients
Chestatee Emergency Physicians, LLC Past Accepting new patients
Foothills Family Medicine Inc Family Medicine PastSince Aug 3, 2003 Accepting new patients

Locations

1300 S Chestatee
Dahlonega, GA 30533
Phone (706) 867-6005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9034/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kim.kurtz.1@9034.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285620450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S CHESTATEE",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335503",
            "telephone_number": "706-867-6005",
            "fax_number": "706-867-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S CHESTATEE",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335503",
            "telephone_number": "706-867-6005",
            "fax_number": "706-867-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00927605A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.