Kimberly Knowlton Seymore, AGPC-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-118046 Issued in AL

Practice address

105 Fire Station Rd
Baileyton, AL 35019-9609

Phone

(256) 735-4057

Fax

(256) 229-4816

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gladstone Primary Care PCGroup PAC ID 7315304201, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gladstone Primary Care PC

  • Family Medicine Physician
  • Hartselle, AL
  • NPI 1134825003

  AL

  Medicare reassignment Care Compare group NPD
• Daily Medical, LLC

  • Family Nurse Practitioner
  • Baileyton, AL
  • NPI 1164996757

  AL

  Medicare reassignment NPD

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

• H H Health System-Morgan LLC

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1831928670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 COUNTY ROAD 66",
            "city": "ARLEY",
            "state": "AL",
            "postal_code": "355414170",
            "telephone_number": "256-606-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIRE STATION RD",
            "city": "BAILEYTON",
            "state": "AL",
            "postal_code": "350199609",
            "telephone_number": "256-735-4057",
            "fax_number": "256-229-4816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4775 County Road 66",
            "address_purpose": "LOCATION",
            "city": "Arley",
            "state": "AL",
            "postal_code": "355414170",
            "country_code": "US",
            "telephone_number": "256-606-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMORE",
        "first_name": "KIMBERLY",
        "middle_name": "KNOWLTON",
        "credential": "AGPC-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-118046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Steely Etheridge
• Buffy Gray, NP
• Charles Lee Gray Jr., FNP-BC
• Hannah Gabriel Holcombe
• Patricia C Jaggers, MD
• U&E Health & Consulting Services LLC

• All providers in Baileyton, AL
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.

Verify at the official NPI Registry.