Kimberly Callaway Pittman, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN161741 Issued in GA

Practice address

3320 Old Jefferson Rd
BLDG 700
Athens, GA 30607-1400

Phone

(706) 353-2990

Fax

(706) 353-2992

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Cancer and Blood Center LLCGroup PAC ID 0345293866, 66 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

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.

• University Cancer & Blood Center LLC

  • Hematology & Oncology Physician
  • Athens, GA
  • NPI 1346343761
  Medicare reassignment Care Compare group NPD
• University Health Alliance

  • Hematology & Oncology Physician
  • Athens, GA
  • NPI 1972239440
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1487780342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON ROAD",
            "address_2": "BLDG 700",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30607",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BLDG 700",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KIMBERLY",
        "middle_name": "CALLAWAY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN161741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pioneer Community Care LLC
• Anthony Gus Pirchio Jr., MED, ATC
• Michelle Pisarik, LCSW
• Wilma Jennifer Pittard, NMT, CMT, LMT
• Clyde Edwin Pittman, MD
• Paige Pittman, PSY.D.
• Eric M Pitts, M.D.
• Kristin Pitts, FNP-C
• Marisela Rae Plascencia, DO
• Plastic Surgery of Athens, P.C.

• Primary Care Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.

Verify at the official NPI Registry.