Kimberly Jennings, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN214360 Issued in GA

Practice address

447 N Belair Rd Ste 101
Evans, GA 30809-3091

Phone

(706) 854-2222

NPI assigned

Jun 30, 2016

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

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians

Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Piedmont Providers LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1548273592
  Medicare reassignment Care Compare group NPD
• Piedmont Specialty Hospital Billing LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1699290510
  Medicare reassignment Care Compare group NPD
• Umg Primary Care South Carolina, LLC

  • Family Medicine Physician
  • Aiken, SC
  • NPI 1851747190
  Medicare reassignment NPD

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

• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1609227628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N BELAIR RD STE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093091",
            "telephone_number": "706-854-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Branch Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133325",
            "country_code": "US",
            "telephone_number": "706-396-1199",
            "fax_number": "706-396-1452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Lake Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309077932",
            "country_code": "US",
            "telephone_number": "706-250-6919",
            "fax_number": "706-250-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095875",
            "country_code": "US",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3486 Peach Orchard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309065215",
            "country_code": "US",
            "telephone_number": "706-828-8049",
            "fax_number": "706-828-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 N Belair Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093091",
            "country_code": "US",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "KIMBERLY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN214360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Swan James, M. ED. CCC-SLP
• Joyce Rebecca Jay-Ruvare, RBT
• Ellen Jester Jenkins, LPC
• Jennifer L Moore, LMFT, LLC
• Heather Jennings, NP
• Jacqueline Marie Jeschke, DPT
• Christopher Ryan Jimenez, MD
• Adeline Janine Johnson, M.D.
• Cameron Johnson
• Kenneth Ray Johnson, PA-C

• Family Nurse Practitioner in Evans, GA
• Providers in Evans, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.