Individual provider Active NPI

Kimberly Carr, M.D.

  • Pediatrics Physician
  • Conyers, GA
National Provider Identifier
1457411605
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
052062 Issued in GA
Practice address
2135 Eastview Pkwy Ste 100
Conyers, GA 30013-5771
Phone
(770) 918-8099
Fax
(770) 918-8402
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 052062 GA Primary

Addresses

Primary practice location

2135 Eastview Pkwy Ste 100
Conyers, GA 30013-5771

Mailing address

2135 Eastview Pkwy Ste 100
Conyers, GA 30013-5771
Phone (770) 918-8099

Other identifiers 1

IdentifierTypeStateIssuer
782382212JMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Medical Central Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kimberly.carr.1@16486.direct.athenahealth.com
  • Direct secure messaging: kcarr62391@choa.gadirect.net

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1457411605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 EASTVIEW PKWY STE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135771",
            "telephone_number": "770-918-8099",
            "fax_number": "770-918-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 EASTVIEW PKWY STE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135771",
            "telephone_number": "770-918-8099",
            "fax_number": "770-918-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "052062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "782382212J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.