Active NPI
Kim Evelyn Schultheiss, MD
- Surgical Critical Care Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 074354
- Practice address
- 743 Spring St NE
Gainesville, GA 30501 - Phone
- (770) 219-2627
- Fax
- (770) 219-2627
- NPI assigned
- Mar 2, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01081237A | IN | |
| Specialist | 174400000X | 4301087089 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036113869 | IL | |
| Surgical Critical Care Physician | 2086S0102X | 074354 | GA | Primary |
| Surgical Critical Care Physician | 2086S0102X | MD60429831 | WA | |
| Surgical Critical Care Physician | 2086S0102X | MD60429831 | VA |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501
Mailing address
322 E Central Blvd Unit 1009
Orlando, FL 32801-4324
Phone (770) 219-8420
Other practice location 1
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-2627
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36113869 | Other | IL | ILLINIOS LICENSE |
| MD60429831 | Other | WA | PROFESSIONAL LICENSE |
| 4301087089 | Other | MI | MICHIGAN LICENSE |
| MD425491 | Other | PA | PENNSYLVANIA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL, MO, GA, ND, WV, TN, IN, NJ, DC, MD, VA, OH, WA, CO, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 17
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161
221 NE Glen Oak
Peoria, IL 61636-0001
Phone (309) 672-5522
221 NE Glen Oak Ave
Peoria, IL 61636-0001
2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 681-8577
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074354 | GA | MD | Surgical Critical Care Physician |
| MD60429831 | VA | MD | Surgical Critical Care Physician |
| MD60429831 | WA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Missouri Intensivist Services LLC | Critical Care Medicine | Current | Accepting new patients |
| St. Alexius Medical Center | Specialist | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Critical Care Medicine | Current | Accepting new patients |
| Phoebe Dorminy OB/GYN Associates | Current | Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Current | Accepting new patients | |
| Select Specialty Hospital Gainesville LLC | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Apogee Medical Group Inc | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients | |
| Apogee Medical Group Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Select Specialty Hospital Gainesville LLC | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Critical Care Medicine | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| App of Tennessee HM, PLLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Dunn Physician Services, LLC | Critical Care Medicine | Current | Accepting new patients |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| La Porte Clinic Company LLC | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| La Porte Clinic Company LLC | Current | Accepting new patients | |
| Northside Primary Care Professional Services, LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Porter Physician Services LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Decatur Memorial Hospital | Critical Care Medicine | Current | Accepting new patients |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Hospital Physician Services of Florida PA | Current | Accepting new patients | |
| Usacs Critical Care Medicine Services East, LLC | Critical Care Medicine | Current | Accepting new patients |
| Jersey Intensivist Associates LLC | Critical Care Medicine | Current | Accepting new patients |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado, Inc. | Critical Care Medicine | Current | Accepting new patients |
| LMC Physician Services, PC | Past | Accepting new patients | |
| St Vincents Hospital and Medical Center | Specialist | Past | Accepting new patients |
| Porter Physician Services LLC | Past | Accepting new patients |
Locations (25 of 49)
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198
1600 SW Archer Rd
Fl 5
Gainesville, FL 32610
Phone (352) 265-0055
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
2300 N Edward St
Ste 2139
Decatur, IL 62526
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
815 Main St
Ste A1
Peoria, IL 61602
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
Interoperability endpoints
- kim.schultheiss@hca4.eclinicaldirectplus.com
- kschultheiss612914@ehrdirect.uhhospitals.org
- kschultheissmd154631@carlehiedirect.net
Organizations & group practices 50
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1760652218
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Critical Care Medicine (Internal Medicine) Physician
- Kansas City, MO
- NPI 1770399776
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Hospitalist Physician
- Shelbyville, TN
- NPI 1396160768
-
- Critical Care Medicine (Internal Medicine) Physician
- Elgin, IL
- NPI 1821641499
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Hospitalist Physician
- Kansas City, MO
- NPI 1437990082
Critical Care Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1831227560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 E CENTRAL BLVD UNIT 1009",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328014324",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501",
"telephone_number": "770-219-2627",
"fax_number": "770-219-2627"
}
],
"practiceLocations": [
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "30501",
"country_code": "US",
"telephone_number": "770-219-2627",
"fax_number": "770-219-2627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTHEISS",
"first_name": "KIM",
"middle_name": "EVELYN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01081237A",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301087089",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036113869",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "GA",
"license": "074354",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "WA",
"license": "MD60429831",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "VA",
"license": "MD60429831",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINIOS LICENSE",
"identifier": "36113869",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "MD60429831",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN LICENSE",
"identifier": "4301087089",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA LICENSE",
"identifier": "MD425491",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.