Individual provider Active NPI

Kimberly Carrette, MD

  • Family Medicine Physician
  • Albany, GA
National Provider Identifier
1487384673
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13766 Issued in GA
Practice address
2336 Dawson Rd Ste 2200
Albany, GA 31707-2801
Phone
(229) 312-8878
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13766 GA Primary

Addresses

Primary practice location

2336 Dawson Rd Ste 2200
Albany, GA 31707-2801

Mailing address

2336 Dawson Rd Ste 2200
Albany, GA 31707-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250910001614 DC Practitioner - Family Practice 6103329834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

8116 Good Luck Rd
Suite 300
Lanham, MD 20706-3508
Phone (240) 241-7474

Hospital & facility affiliations

  • Americare in Home Nursing Home health agency, Fort Washington, MD, CCN 217152
  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13766GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

8116 Good Luck Rd
Ste 300
Lanham, MD 20706
Phone (240) 241-7474

Interoperability endpoints

  • Direct secure messaging: kcarrette185447@direct.aahs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1487384673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 DAWSON RD STE 2200",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 DAWSON RD STE 2200",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072801",
            "telephone_number": "229-312-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRETTE",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "13766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.