Active NPI
Kimberly Gamble Murdock, NP-C
- Adult Health Nurse Practitioner
- Macon, GA
National Provider Identifier
1366716029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN138265
- Practice address
- 140 N Crest Blvd
Macon, GA 31210-1845 - Phone
- (478) 951-3672
- Fax
- (478) 757-8353
- NPI assigned
- Feb 28, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN138265 | GA | Primary |
Addresses
Primary practice location
140 N Crest Blvd
Macon, GA 31210-1845
Mailing address
140 N Crest Blvd
Macon, GA 31210-1845
Phone (478) 951-3672
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Gateway Dr
Macon, GA 31210-1141
Phone (478) 378-0829
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabriel Primary Care | Current | Accepting new patients | |
| Collier B. Gladin, Jr., M.D., LLC | Past | Accepting new patients |
Locations
101 Gateway Dr
Macon, GA 31210
Phone (478) 210-1670
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Macon, GA
- NPI 1982306718
-
- Family Medicine Physician
- Macon, GA
- NPI 1780992198
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1366716029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 N CREST BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "312101845",
"telephone_number": "478-951-3672",
"fax_number": "478-757-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N CREST BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "312101845",
"telephone_number": "478-951-3672",
"fax_number": "478-757-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "KIMBERLY",
"middle_name": "GAMBLE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN138265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.
- 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.