Active NPI
William Scott Kimmerly, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 49972
- Practice address
- 2001 Peachtree Rd NE Ste 705
Atlanta, GA 30309-1476 - Phone
- (404) 355-0743
- Fax
- (855) 273-3558
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 49972 | GA | Primary |
Addresses
Primary practice location
2001 Peachtree Rd NE Ste 705
Atlanta, GA 30309-1476
Mailing address
2001 Peachtree Rd NE Ste 705
Atlanta, GA 30309-1476
Phone (404) 355-0743
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 Phoenix Blvd
Suite 200
College Park, GA 30349-5062
Phone (404) 355-6548
2001 Peachtree Rd NE
Suite 705
Atlanta, GA 30309-1476
Phone (404) 355-0743
3200 Downwood Cir NW
Suite 700
Atlanta, GA 30327-5308
Phone (404) 355-0743
5505 Peachtree Dunwoody Rd
Suite 600
Atlanta, GA 30342-1717
Phone (404) 425-1577
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43559 | CO | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Orthopaedic Clinic PA | Foot and Ankle Surgery | Current | Accepting new patients |
| Peachtree Orthopaedic Clinic | Current | Accepting new patients | |
| Steadman Clinic Professional LLC | Foot and Ankle Surgery | Past | Accepting new patients |
| Peachtree Orthopaedic Surgery Center-North, LLC | Past | Accepting new patients |
Locations
77 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 242-7263
3200 Downwood Cir NW
Ste 700
Atlanta, GA 30327
Phone (404) 355-8066
2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309
3200 Downwood Cir NW
Ste 500
Atlanta, GA 30327
Phone (404) 352-4500
1000 Northside Dr NW
Ste 1500
Atlanta, GA 30318
Phone (404) 350-2446
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1901 Phoenix Blvd
Ste 200
College Park, GA 30349
Phone (678) 335-9010
1901 Phoenix Blvd
Ste 120
College Park, GA 30349
Phone (404) 355-6548
2860 Ronald Reagan Blvd
Ste 300
Cumming, GA 30041
Phone (404) 355-0742
2860 Ronald Reagan Blvd
Ste 120
Cumming, GA 30041
2860 Ronald Reagan Blvd
Ste 240
Cumming, GA 30041
2860 Ronald Reagan Blvd
Ste 100
Cumming, GA 30041
Phone (404) 425-1500
1163 Johnson Ferry Rd
Ste 200
Marietta, GA 30068
Phone (770) 977-7777
5505 Peachtree Dunwoody Rd
Ste 600
Sandy Springs, GA 30342
Phone (404) 425-1577
5505 Ptree Dunwoody Rd NE
Ste 150
Sandy Springs, GA 30342
Phone (404) 847-0893
101 Smoke Hill Ln
Ste 120
Woodstock, GA 30188
Phone (404) 425-1222
Interoperability endpoints
- william.kimmerly.1@8474.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1811912611
Foot and Ankle Surgery
-
- Durable Medical Equipment & Medical Supplies
- Alpharetta, GA
- NPI 1588802474
-
- Ambulatory Surgical Clinic/Center
- Cumming, GA
- NPI 1093389421
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783123200000",
"number": "1669484903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 PEACHTREE RD NE STE 705",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091476",
"telephone_number": "404-355-0743",
"fax_number": "855-273-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 PEACHTREE RD NE STE 705",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091476",
"telephone_number": "404-355-0743",
"fax_number": "855-273-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMERLY",
"first_name": "WILLIAM",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2026-07-04",
"certification_date": "2026-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "GA",
"license": "49972",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Court, Suite 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "98683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; 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.