Individual provider Active NPI

Kimberly Dawn Slatton, APN

  • Family Nurse Practitioner
  • Blue Ridge, GA
National Provider Identifier
1780180927
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN219055 Issued in GA
Practice address
99 Ouida St
Blue Ridge, GA 30513-4627
Phone
(706) 632-2271
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219055 GA
Family Nurse Practitioner 363LF0000X RN219055 GA Primary

Addresses

Primary practice location

99 Ouida St
Blue Ridge, GA 30513-4627

Mailing address

1101 Lake Howard Rd
La Fayette, GA 30728-6526
Phone (423) 505-9847

Other practice location 1

1067 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3947
Phone (706) 861-5154

Other practice location 2

1626 Jeurgens Ct
Norcross, GA 30093-2219
Phone (678) 533-6494

Other practice location 3

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 778-7000

Other practice location 4

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 778-7000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205003481 GA Practitioner - Nurse Practitioner 2668716499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Georgia Urology Center, PC, IncGroup PAC ID 1951388180, 6 clinicians

Practice addresses (Care Compare)

1434 Broadrick Dr
Dalton, GA 30720-3009
Phone 7062785961114

Merit-based Incentive Payment System (MIPS)

Final score
93.19 of 100Reported as group
Quality
94.81
Improvement activities
40
Cost
84.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
219055GAMDFamily Nurse Practitioner
RN219055GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Urology Center, PC, Inc CurrentSince Jan 8, 2024 Accepting new patients

Locations

1434 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-5961

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGHABD

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.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1780180927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LAKE HOWARD RD",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307286526",
            "telephone_number": "423-505-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OUIDA ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134627",
            "telephone_number": "706-632-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1067 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307423947",
            "country_code": "US",
            "telephone_number": "706-861-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1626 Jeurgens Ct",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300932219",
            "country_code": "US",
            "telephone_number": "678-533-6494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37403",
            "country_code": "US",
            "telephone_number": "423-778-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37403",
            "country_code": "US",
            "telephone_number": "423-778-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATTON",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "219055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN219055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.