Individual provider Active NPI

Kimberly Ann Edwards-Hall, MD

  • Internal Medicine Physician
  • Newnan, GA
National Provider Identifier
1770612467
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
031414 Issued in GA
Practice address
110 Oak Hill Blvd
Suite 200
Newnan, GA 30265-2313
Phone
(770) 304-0987
Fax
(770) 916-4460
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 031414 GA Primary

Addresses

Primary practice location

110 Oak Hill Blvd
Suite 200
Newnan, GA 30265-2313

Mailing address

110 Oak Hill Blvd
Suite 200
Newnan, GA 30265-2313
Phone (770) 304-0987

Other names 1

  • Kimberly Ann Edwards Former name

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
I20050620001061 GA Practitioner - Internal Medicine 0042255168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

110 Oak Hill Blvd
Suite 200
Newnan, GA 30265-2313
Phone (770) 304-0987

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031414GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince May 1, 2005 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860

110 Oak Hill Blvd
Ste 200
Newnan, GA 30265
Phone (770) 304-0987

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1770612467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OAK HILL BLVD",
            "address_2": "SUITE 200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652313",
            "telephone_number": "770-304-0987",
            "fax_number": "770-916-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OAK HILL BLVD",
            "address_2": "SUITE 200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652313",
            "telephone_number": "770-304-0987",
            "fax_number": "770-916-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS-HALL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "031414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "EDWARDS",
            "middle_name": "ANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.