Individual provider Active NPI

Erick Anderson Kimmerling, D.O.

  • Sleep Medicine (Internal Medicine) Physician
  • Dalton, GA
National Provider Identifier
1740262864
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
29196 Issued in GA
Practice address
1411 Chattanooga Ave
Dalton, GA 30720-2673
Phone
(706) 226-1530
Fax
(706) 277-4215
NPI assigned
Nov 15, 2005
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 29196 GA Primary
Pulmonary Disease Physician 207RP1001X 029196 GA

Addresses

Primary practice location

1411 Chattanooga Ave
Dalton, GA 30720-2673

Mailing address

PO Box 1587
Dalton, GA 30722-1587
Phone (706) 226-1530

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000154 GA Practitioner - Pulmonary Disease 1658441274 Reassigns benefits to 2 organizations
Practice locations: Dalton, GA

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
West Virginia School of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians

Practice addresses (Care Compare)

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 226-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
029196GAMDPulmonary Disease Physician
29196GAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince May 24, 2021 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince May 24, 2021 Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1411 Chattanooga Ave
Dalton, GA 30720
Phone (706) 226-1530

1411 Chattanooga Ave
Ste 106
Dalton, GA 30720

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

Interoperability endpoints

  • Direct secure messaging: ekimmerling18451@hhcs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1740262864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1587",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307221587",
            "telephone_number": "706-226-1530",
            "fax_number": "833-731-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202673",
            "telephone_number": "706-226-1530",
            "fax_number": "706-277-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMERLING",
        "first_name": "ERICK",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "29196",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "029196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.