Individual provider Active NPI

Kimberly Cooke Scheffel, NP-C

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1386187854
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN125948 Issued in GA
Practice address
9925 Haynes Bridge Rd
Alpharetta, GA 30022-8532
Phone
(770) 777-7495
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 RN125948 GA Primary

Addresses

Primary practice location

9925 Haynes Bridge Rd
Alpharetta, GA 30022-8532

Mailing address

305 Oak Hill CT
Milton, GA 30004-3593
Phone (770) 355-5675

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
I20221110001457 GA Practitioner - Nurse Practitioner 1850768490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twelvestone Infusion Centers LLCGroup PAC ID 6800151424, 64 clinicians

Practice addresses (Care Compare)

125 Oakside CT
Suite 201
Canton, GA 30114-2498
Phone (844) 893-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN125948GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twelvestone Infusion Centers LLC CurrentSince Oct 31, 2022 Accepting new patients

Locations

125 Oakside Ct
Ste 201
Canton, GA 30114

2920 Ronald Reagan Blvd
Ste 103
Cumming, GA 30041

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.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1386187854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 OAK HILL CT",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300043593",
            "telephone_number": "770-355-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 HAYNES BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228532",
            "telephone_number": "770-777-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFFEL",
        "first_name": "KIMBERLY",
        "middle_name": "COOKE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN125948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.