Individual provider Active NPI

Kimberly A Singh, MD

  • Surgery Physician
  • Conyers, GA
National Provider Identifier
1457537201
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
842773 Issued in GA
Practice address
1368 Wellbrook Cir NE
Suite B
Conyers, GA 30012-3949
Phone
(770) 929-0634
Fax
(770) 929-8716
NPI assigned
Jan 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 842773 GA Primary

Addresses

Primary practice location

1368 Wellbrook Cir NE
Suite B
Conyers, GA 30012-3949

Mailing address

1368 Wellbrook Cir NE
Suite B
Conyers, GA 30012-3949
Phone (770) 929-0634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20100823000408 GA Practitioner - General SurgeryPractitioner - Plastic and Reconstructive Surgery 3375677628 Reassigns benefits to 2 organizations
I20121210000263 GA Practitioner - Plastic and Reconstructive Surgery 3375677628 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
842773GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbingh LLC CurrentSince Nov 1, 2012 Accepting new patients
City of Hope Medical Group of Georgia LLC Surgery CurrentSince Jan 1, 2014 Accepting new patients

Locations

1368 Wellbrook Cir NE
Ste B
Conyers, GA 30012
Phone (770) 929-0634

1366 Wellbrook Cir NE
#B
Conyers, GA 30012
Phone (770) 922-9622

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5996/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kimberly.singh.1@5996.direct.athenahealth.com

Organizations & group practices 2

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": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1457537201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 WELLBROOK CIR NE",
            "address_2": "SUITE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123949",
            "telephone_number": "770-929-0634",
            "fax_number": "770-929-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 WELLBROOK CIR NE",
            "address_2": "SUITE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123949",
            "telephone_number": "770-929-0634",
            "fax_number": "770-929-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "842773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.