Active NPI
Kimberly Prater, FNP-C
- Family Nurse Practitioner
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN185543
- Practice address
- 745 Poplar Rd
Newnan, GA 30265-1618 - Phone
- (404) 605-2800
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN185543 | GA | Primary |
Addresses
Primary practice location
745 Poplar Rd
Newnan, GA 30265-1618
Mailing address
745 Poplar Rd
Newnan, GA 30265-1618
Phone (404) 605-2800
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1267 Hwy 54 W
Suite 4100
Fayetteville, GA 30214-2112
Phone (770) 506-5470
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912
Hospital & facility affiliations
- Piedmont Newnan Hospital, Inc
- Piedmont Fayette Hospital
- Piedmont Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1700288339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 POPLAR RD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651618",
"telephone_number": "404-605-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 POPLAR RD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651618",
"telephone_number": "404-605-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATER",
"first_name": "KIMBERLY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN185543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.