NPIMap

Individual provider Active NPI

Kimberly Stancil Turner, M.D.

  • Family Medicine Physician
  • Monroe, GA
National Provider Identifier
1801979398
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050066 Issued in GA
Practice address
521 Great Oaks Drive
Monroe, GA 30655
Phone
(770) 267-7093
Fax
(770) 267-7361
NPI assigned
Oct 20, 2006
Last updated
Jun 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 050066 GA Primary

Addresses

Primary practice location

521 Great Oaks Drive
Monroe, GA 30655

Mailing address

PO Box 671
Monroe, GA 30655-0671
Phone (770) 267-7093

Other names 1

  • Kimberly Elaine Stancil Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000012 GA Practitioner - Family Practice 2567658115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walton Family Medicine, P.C.Group PAC ID 4385632314, 4 clinicians

Practice addresses (Care Compare)

521 Great Oaks Dr
Monroe, GA 30655-8211
Phone (770) 267-7093

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050066GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walton Family Medicine, P.C. Family Medicine CurrentSince Jul 1, 2001 Accepting new patients

Locations

521 Great Oaks Dr
Monroe, GA 30655
Phone (770) 267-7093

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1801979398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306550671",
            "telephone_number": "770-267-7093",
            "fax_number": "770-267-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 GREAT OAKS DRIVE",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "770-267-7093",
            "fax_number": "770-267-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KIMBERLY",
        "middle_name": "STANCIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STANCIL",
            "middle_name": "ELAINE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.