Christine Carol Jiminez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002894 Issued in GA

Practice address

901 Rice St NW
Atlanta, GA 30318-4938

Phone

(404) 613-2022

Fax

(404) 893-6641

NPI assigned

Jul 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1376996702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FAIRDALE TRCE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817784",
            "telephone_number": "678-856-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RICE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184938",
            "telephone_number": "404-613-2022",
            "fax_number": "404-893-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMINEZ",
        "first_name": "CHRISTINE",
        "middle_name": "CAROL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Rafael Jimenez, M.D.
• Ruben Erick Jimenez
• Stephany Jimenez
• Tia Jimenez
• Bridgette Jimerson
• Kelley B Jimison, CPNP
• Jimmie E. Williams, M.D., P.C.
• Jimmy'S Magnolia Tree Inc
• Jindal Psychiatry, L.L.C.
• Gaurav Jindal, MD

• Medical Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.