Kimberly Blaine Crosland, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

73501 Issued in GA

Practice address

10055 Ford Ave Ste 4a
Richmond Hill, GA 31324-3974

Phone

(912) 527-5352

Fax

(912) 756-5291

NPI assigned

Dec 10, 2008

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: kimberly.crosland.1@8042.direct.athenahealth.com

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1861637449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 FORD AVE STE 4A",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243974",
            "telephone_number": "912-527-5352",
            "fax_number": "912-756-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 FORD AVE STE 4A",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243974",
            "telephone_number": "912-527-5352",
            "fax_number": "912-756-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSLAND",
        "first_name": "KIMBERLY",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "73501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costrini & Meadows, P.C.
• Neva N Coulter
• Courtney Camp Highsmith, DMD, PC
• Brandy Katherine Crawford, MSN, APRN, PMHNP-BC
• Mark Croskey, PHARMD
• Beth A Crowe-Finley
• Daisy Cruz
• Akeillia Alana Cunningham
• Grady Dailey Jr.
• Heather Michelle Daman, PT, DPT

• Pediatrics Physician in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.