Individual provider Active NPI

Kimberly Joiner

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1477085314
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN215643 Issued in GA
Practice address
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone
(404) 605-2800
Fax
(404) 351-5893
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN215643 GA Primary

Addresses

Primary practice location

1968 Peachtree Rd NW
Atlanta, GA 30309-1281

Mailing address

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170607000699 GA Practitioner - Nurse Practitioner 4385911775 Reassigns benefits to 1 organization
I20200924002815 CA Practitioner - Nurse Practitioner 4385911775 Reassigns benefits to 2 organizations
I20240123000837 WA Practitioner - Nurse Practitioner 4385911775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of Washington PCGroup PAC ID 7618455882, 14 clinicians
Carbon Health Medical Group of Florida PAGroup PAC ID 3274947304, 55 clinicians

Practice addresses (Care Compare)

1751 S 320TH St
Suite M24
Federal Way, WA 98003
Phone (253) 238-7148

2915 184TH St SW
BLDG 5
Lynnwood, WA 98037-4847
Phone (888) 972-1912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Dec 17, 2023 Accepting new patients
Solano Gateway Medical Group Inc CurrentSince Aug 16, 2020 Accepting new patients
Emergency Care of Atlanta Inc Family CurrentSince Oct 1, 2018 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Dec 17, 2023 Accepting new patients
Carbon Health Medical Group of Washington PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

1750 S 320th St
#M24
Federal Way, WA 98003
Phone (253) 553-3761

1750 S 320th St
Federal Way, WA 98003
Phone (253) 553-3761

13210 39th Ave SE
Unit 102
Mill Creek, WA 98012
Phone (425) 216-6955

10221 156th St E
Ste P1102
Puyallup, WA 98374
Phone (253) 292-5297

Organizations & group practices 6

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477085314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-605-2800",
            "fax_number": "404-351-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-605-2800",
            "fax_number": "404-351-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINER",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN215643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.