Active NPI
James D Kiley, M.D.
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1366555625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- GA011971
- Practice address
- 3193 Howell Mill Rd NW
Suite 306
Atlanta, GA 30327-2100 - Phone
- (404) 351-9763
- Fax
- (404) 355-3322
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | GA011971 | GA | Primary |
Addresses
Primary practice location
3193 Howell Mill Rd NW
Suite 306
Atlanta, GA 30327-2100
Mailing address
6265 River Chase Cir
Sandy Springs, GA 30328-3546
Phone (770) 952-5472
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA011971 | Other | GA | LICENSE NUMBER |
| 000071079A | Medicaid | GA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101113000147 | GA | Practitioner - Internal Medicine | 7517152713 | Practice locations: Atlanta, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA011971 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1366555625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6265 RIVER CHASE CIR",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283546",
"telephone_number": "770-952-5472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3193 HOWELL MILL RD NW",
"address_2": "SUITE 306",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272100",
"telephone_number": "404-351-9763",
"fax_number": "404-355-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILEY",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "GA011971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "GA011971",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000071079A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.