Individual provider Active NPI

Jennifer S Chimento, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1326280900
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
170766 Issued in GA
Practice address
5775 Peachtree Dunwoody Rd Ste 425
Atlanta, GA 30342-1556
Phone
(844) 403-4325
NPI assigned
Mar 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 170766 GA Primary

Addresses

Primary practice location

5775 Peachtree Dunwoody Rd Ste 425
Atlanta, GA 30342-1556

Mailing address

116 Battery Way
Peachtree City, GA 30269-2138
Phone (770) 490-2372

Other practice location 1

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (770) 490-2372

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
I20090715000271 GA Practitioner - Nurse Practitioner 3072662055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
170766GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Allergy & Asthma of Georgia PC CurrentSince May 16, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 30, 2023 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Jan 9, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 30, 2023 Accepting new patients
Center for Allergy and Asthma Southern Crescent CurrentSince May 16, 2023 Accepting new patients
The Healthcaring Clinic of Georgia, LLC Family PastSince May 7, 2013 Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients

Locations

825 Dixie St
Carrollton, GA 30117

1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1615 Highway 34 E
#A
Newnan, GA 30265

1975 Highway 54 W
Ste 255
Peachtree City, GA 30269

690 Dallas Hwy
Ste 101
Villa Rica, GA 30180

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1326280900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BATTERY WAY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692138",
            "telephone_number": "770-490-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 PEACHTREE DUNWOODY RD STE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421556",
            "telephone_number": "844-403-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 Bren Rd E",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553439664",
            "country_code": "US",
            "telephone_number": "770-490-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIMENTO",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "170766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.