Kimberly Ann Stallings, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN147939 Issued in GA

Practice address

650 Henderson Dr Ste 409
Cartersville, GA 30120-3758

Phone

(470) 274-2800

Fax

(800) 501-3088

NPI assigned

Apr 7, 2011

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 names 1

• Kimberly Ann Hardin Other name

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Pain Specialists of Georgia LLCGroup PAC ID 6709222730, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: interventionalpainspecialistsofgeorgia.kimberlystallings@157503.advancedmd-direct.com

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.

• Interventional Pain Specialists of Georgia LLC

  • Interventional Pain Medicine Physician
  • Cartersville, GA
  • NPI 1205698396
  Medicare reassignment Care Compare group NPD
• Harbin Clinic, LLC

  • Ambulatory Surgical Clinic/Center
  • Rome, GA
  • NPI 1447385158
  NPD

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1699064972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DR STE 409",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203758",
            "telephone_number": "470-274-2800",
            "fax_number": "800-501-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DR STE 409",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203758",
            "telephone_number": "470-274-2800",
            "fax_number": "800-501-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN147939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HARDIN",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michele Sperl, PT
• Jacob Spitzmiller
• Rachel Spivey, CPNP-AC/PC
• Steven Allen Spivey, MD
• Barrett Allen Staley
• Amanda Stanley, PHARMD
• Steve Stanley, DPT
• Stanton Optical
• Jill Stanton
• Sarah Nicole Steele

• Nurse Practitioner in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.