Individual provider Active NPI

Mary Elizabeth Kimbrough, DO

  • Internal Medicine Physician
  • Whitesburg, KY
National Provider Identifier
1891355640
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
102982 Issued in GA
Practice address
240 Hospital Rd
Whitesburg, KY 41858-7627
Phone
(606) 633-3500
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05343 KY
Internal Medicine Physician 207R00000X 102982 GA Primary

Addresses

Primary practice location

240 Hospital Rd
Whitesburg, KY 41858-7627

Mailing address

214 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-4414

Other practice location 1

320 Hospital Rd
Canton, GA 30114-2410
Phone (770) 479-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220808002358 KY Practitioner - Internal Medicine 4284016262 Reassigns benefits to 1 organization
I20250320000111 GA Practitioner - Internal Medicine 4284016262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates Professional Services, LLCGroup PAC ID 1355578485, 23 clinicians

Practice addresses (Care Compare)

1400 Northside Forsyth Dr
Suite 250
Cumming, GA 30041-7701
Phone (800) 248-5535

320 Hospital Rd
Canton, GA 30114-2432
Phone (770) 479-5535

470 Valley St
Suite 200
Ball Ground, GA 30107-4068
Phone (770) 737-2770

Hospital & facility affiliations

  • Amedisys Northwest Home Health Home health agency, Jasper, GA, CCN 117064
  • Community Home Health, an Amedisys Company Home health agency, Woodstock, GA, CCN 117130
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Professional Services, LLC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Northside Primary Care Professional Services,LLC Past Accepting new patients

Locations

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

1400 Northside Forsyth Dr
Ste 250
Cumming, GA 30041
Phone (770) 889-7118

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 487-7503

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

1500 Terrace St
Hinton, WV 25951
Phone (304) 466-1660

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1891355640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301142410",
            "country_code": "US",
            "telephone_number": "770-479-5535",
            "fax_number": "770-720-3294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBROUGH",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "05343",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "102982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

Verify at the official NPI Registry.