Kimberly Hall

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

105 Miller Dr
Dawsonville, GA 30534-8847

Phone

(706) 525-8525

Fax

(706) 216-4357

NPI assigned

Jun 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1396007399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MILLER DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348847",
            "telephone_number": "706-525-8525",
            "fax_number": "706-216-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MILLER DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348847",
            "telephone_number": "706-525-8525",
            "fax_number": "706-216-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157152104A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aryn Guthrie
• Kelly Ann Guthrie
• James Grey Haddon, DPT
• Saba Haeringer, DO
• Benjamin Hall, DPT
• Dana Harper, OTR/L
• Harris Family Dentistry
• Craig Harris, D.M.D.
• Heather Sue Harris, FNP-C
• Winifred Jones Harris, D.M.D.

• Case Manager/Care Coordinator in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.