Kimberley E. Wilson, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KIMBERLEY E. WILSON, LLC

Doing business as

Kimberley E. Wilson, MD

Practice address

2001 Peachtree Rd NE Ste 600
Atlanta, GA 30309-1424

Phone

(404) 351-2551

NPI assigned

Jan 31, 2020

Organization subpart

No

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

Authorized official

Name

Kimberley E Wilson, MDNPI 1699852814

Title

Owner

Phone

(404) 351-2551

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberley E. Wilson, MD Doing business as

Practitioners 1

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

• Kimberley Elliott Wilson, M.D.

  • Rheumatology Physician
  • Atlanta, GA
  • NPI 1699852814
  NPD Authorized official

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1487285136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE STE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091424",
            "telephone_number": "404-351-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE STE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091424",
            "telephone_number": "404-351-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLEY E. WILSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-351-2551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "31363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberley E. Wilson, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Alexandra Kimani, M.D.
• Yolanda Muthoni Kimani, NP
• Emma Grace Kimball, LCSW
• John W Kimbell, PAAA
• Lauren Lydia Kimbell, D.C.
• Kimberly Smiley, Psy.D., LLC
• Kimberly the Dietitian, LLC
• Aaron James Kimble, PHD
• Shannon Kimbrel
• Chanelle Kimbrough

• Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.