The Kimani Clinic, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE KIMANI CLINIC, P.C.

Practice address

450 14TH St NW
Atlanta, GA 30318-7963

Phone

(404) 685-8485

Fax

(404) 685-8414

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Grace Alexandra Kimani, M.D.NPI 1063575272

Title

Ceo

Phone

(404) 685-8485

Specialties & licenses 1

Addresses

Other names 1

• Peachtree Pine Medical Care, P.C. Former legal business name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Alexandra Kimani, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063575272
  NPD (past) Authorized official
• Anthony Kimani Mwangi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Macon, GA
  • NPI 1083604532
  NPD
• Elaine Chang

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1093922288
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1396890844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54538",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303080538",
            "telephone_number": "404-685-8485",
            "fax_number": "404-685-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 14TH ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187963",
            "telephone_number": "404-685-8485",
            "fax_number": "404-685-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIMANI CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "KIMANI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-685-8485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Pine Medical Care, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.