Active NPI
Kimberly Carrette, MD
- Family Medicine Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13766
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Amedisys Home Health Care
- Luminis Health Anne Arundel Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13766 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1477862308
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Largo, MD
- NPI 1831143908
-
- Home Health Agency
- Landover, MD
- NPI 1679515902
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.