Active NPI
Evans Kyei-Nimako, MD
- Internal Medicine Physician
- Florence, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 058361
- Practice address
- 205 Marengo Street
Florence, AL 35630 - Phone
- (256) 768-9509
- Fax
- (256) 768-9715
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 058361 | GA | Primary |
Addresses
Primary practice location
205 Marengo Street
Florence, AL 35630
Mailing address
PO Box 10005
Florence, AL 35631-2005
Phone (256) 768-9509
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149423 | Medicaid | AL | |
| P00612693 | Other | GA | RR MEDICARE |
| 103384 | Medicaid | AL |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000
541 W College St
Suite 3300
Florence, AL 35630-5320
Phone (256) 766-6026
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecm Health Group LLC | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Redmond Hospital Services LLC | Past | Accepting new patients | |
| Wellstar Physicians Group Douglas Hospitalists, LLC | Internal Medicine | Past | Accepting new patients |
| Emergency Coverage, LLC | Internal Medicine | Past | Accepting new patients |
| RCHP - Florence LLC | Past | Accepting new patients |
Locations
1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900
205 Marengo St
Florence, AL 35630
Phone (256) 768-8350
541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098
541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Florence, AL
- NPI 1346588852
-
dba North Alabama Medical Center
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Internal Medicine
-
- Neurology Physician
- Rome, GA
- NPI 1063531416
-
- Internal Medicine Physician
- Douglasville, GA
- NPI 1376590463
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marion Regional Medical Center
- General Acute Care Hospital
- Hamilton, AL
- NPI 1932160082
-
dba North Alabama Medical Center
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871506287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10005",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356312005",
"telephone_number": "256-768-9509",
"fax_number": "256-768-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MARENGO STREET",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35630",
"telephone_number": "256-768-9509",
"fax_number": "256-768-9715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYEI-NIMAKO",
"first_name": "EVANS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "058361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149423",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00612693",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103384",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.