Kimberly Wilder Collins, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

22039 Issued in TN

Practice address

270 BMH Physicians Office Building
Maryville, TN 37804-3780

Phone

(865) 546-1642

Fax

(865) 681-7949

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1528037348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BMH PHYSICIAN OFFICE BUILDING",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378041527",
            "telephone_number": "865-546-1642",
            "fax_number": "865-681-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BMH PHYSICIANS OFFICE BUILDING",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378043780",
            "telephone_number": "865-546-1642",
            "fax_number": "865-681-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KIMBERLY",
        "middle_name": "WILDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "22039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007725",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6167144",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Lynn Coleman, PTA
• Stuart Allan Coleman, MAPC, LPC, MHSP, NCC
• Brent Patrick Collins, D.D.S., M.S.
• Brittany Collins, CCC-SLP
• Jean Marie Collins, D.O.
• Patricia A Collins, DPH
• Colonial Development, Inc.
• Vivian L Colont, RN APRN NURSE PRACTI
• Linda R. Colvin
• Shelby Ann Combs

• Obstetrics & Gynecology Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.