Organization Active NPI

Kim Kurtz MD Inc

  • Family Medicine Physician
  • Dahlonega, GA
National Provider Identifier
1457513996
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KIM KURTZ MD INC
Practice address
1300 S Chestatee
Dahlonega, GA 30533-5503
Phone
(706) 867-6005
Fax
(706) 867-6012
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Kim Kurtz, MD
Title
Business Owner
Phone
(706) 867-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1300 S Chestatee
Dahlonega, GA 30533-5503

Mailing address

1300 S Chestatee
Dahlonega, GA 30533-5503
Phone (706) 867-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090528000524 GA Part B Supplier - Clinic/Group Practice 9537218276 Receives reassigned benefits from 2 practitioners
Practice locations: Dahlonega, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1457513996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S CHESTATEE",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335503",
            "telephone_number": "706-867-6005",
            "fax_number": "706-867-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S CHESTATEE",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335503",
            "telephone_number": "706-867-6005",
            "fax_number": "706-867-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM KURTZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "706-867-6005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.