Individual provider Active NPI

Kimball Frank Patton, M.D.

  • Anesthesiology Physician
  • Conyers, GA
National Provider Identifier
1891767828
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
034435 Issued in GA
Practice address
1359 Milstead Rd NE
Suite 103
Conyers, GA 30012-3865
Phone
(770) 388-7745
Fax
(770) 922-0546
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 034435 GA Primary

Addresses

Primary practice location

1359 Milstead Rd NE
Suite 103
Conyers, GA 30012-3865

Mailing address

PO Box 1078
Conyers, GA 30012-1078
Phone (770) 388-7745

Other identifiers 1

IdentifierTypeStateIssuer
000463856AMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100304000671 GA Practitioner - Anesthesiology 3072415645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
Rockdale Anesthesia Services, P.C.Group PAC ID 4284536855, 32 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

1612 Milstead Rd NE
Suite B
Conyers, GA 30012-3738
Phone (770) 388-7745

Hospital & facility affiliations

  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034435GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
Rockdale Anesthesia Services, P.C. Anesthesiology CurrentSince Jan 1, 2001 Accepting new patients

Locations

1380 Milstead Ave NE
Ste G
Conyers, GA 30012
Phone (770) 388-7745

343 Salem Gate Dr SE
Ste 201
Conyers, GA 30013
Phone (770) 388-7745

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1359 Milstead Rd NE
Ste 103
Conyers, GA 30012
Phone (678) 509-3639

1612 Milstead Rd NE
#B
Conyers, GA 30012
Phone (770) 388-7745

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 2

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 1

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1891767828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300121078",
            "telephone_number": "770-388-7745",
            "fax_number": "770-922-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 MILSTEAD RD NE",
            "address_2": "SUITE 103",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123865",
            "telephone_number": "770-388-7745",
            "fax_number": "770-922-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KIMBALL",
        "middle_name": "FRANK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "034435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000463856A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.