Kimberly A Callahan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5014930 Issued in NC

Practice address

4901 Dawn Dr Ste 3400
Lumberton, NC 28360-8288

Phone

(910) 738-3103

Fax

(910) 738-3465

NPI assigned

Jul 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.callahan.1@20916.direct.athenahealth.com

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.

• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  GA

  Medicare reassignment NPD
• St James Health and Wellness Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, SC
  • NPI 1366568594
  Medicare reassignment NPD
• St James Health and Wellness Inc

  • Federally Qualified Health Center (FQHC)
  • MC Clellanville, SC
  • NPI 1588618441
  NPD
• St. James Health and Wellness Inc.

  • Federally Qualified Health Center (FQHC)
  • Georgetown, SC
  • NPI 1962250258
  NPD
• David E Kim MD PC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1194919381
  NPD (past)
• Farshid Paydar MD PC

  • Ambulatory Surgical Clinic/Center
  • Cottonwood, AZ
  • NPI 1609039056
  NPD (past)
• Inpatient Consultants of Georgia, Inc

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1659403970
  NPD (past)
• The Healthcaring Clinic of Georgia, LLC

  • Family Nurse Practitioner
  • Cartersville, GA
  • NPI 1669539508
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1457515835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N CEDAR ST STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583926",
            "telephone_number": "910-737-3147",
            "fax_number": "928-634-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DAWN DR STE 3400",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283608288",
            "telephone_number": "910-738-3103",
            "fax_number": "910-738-3465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Bertha Howe Ave",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890277502",
            "country_code": "US",
            "telephone_number": "702-346-0800",
            "fax_number": "702-346-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah M Byrd, COF, CMF, CFTS
• Brian M Cable, MD
• Bridgett Cade, LCSW-A, LCAS-A
• Boris Calderon, D.O
• Katherine Ross Caldwell
• Calvary Internal Medicine PC
• Rachel Christine Camden, M.S., D.O.
• Campbell Ear, Nose & Throat, PA
• Terri Lisa Davis Campbell, FNP
• Campbell'S Transportation LLC

• Family Nurse Practitioner in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.