Active NPI
Kimberly M Yarbro, LMSW
- Social Worker
- Atoka, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105240
- Practice address
- 76 Capital Way Ste C
Atoka, TN 38004-6866 - Phone
- (901) 840-1202
- Fax
- (901) 840-1204
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 105240 | TN | Primary |
Addresses
Primary practice location
76 Capital Way Ste C
Atoka, TN 38004-6866
Mailing address
1211 Union Ave Ste 330
Memphis, TN 38104-6655
Phone (901) 478-0966
Other practice location 1
6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895
Phone (901) 387-0026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
76 Capital Way
Suite C
Atoka, TN 38004-6832
Phone (901) 840-1202
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8143 | TN | MD | Mental Health Counselor |
| 105240 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Group LLC | Current | Accepting new patients |
Locations
76 Capital Way
Ste C
Atoka, TN 38004
Phone (901) 837-6674
2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Memphis, TN
- NPI 1093016651
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1700513678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 UNION AVE STE 330",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046655",
"telephone_number": "901-478-0966",
"fax_number": "901-478-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 CAPITAL WAY STE C",
"city": "ATOKA",
"state": "TN",
"postal_code": "380046866",
"telephone_number": "901-840-1202",
"fax_number": "901-840-1204"
}
],
"practiceLocations": [
{
"address_1": "6551 Stage Oaks Dr Ste 4",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "381343895",
"country_code": "US",
"telephone_number": "901-387-0026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YARBRO",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "105240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atoka, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.