Kimberly Renee Gillens, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

99642 Issued in GA

Practice address

1608 Tree LN Ste A101
Snellville, GA 30078-2390

Phone

(770) 972-6464

Fax

(770) 978-4819

NPI assigned

Apr 1, 2020

Last updated

Apr 16, 2025By the provider in NPPES

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 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

Specialty

Obstetrics/Gynecology

Education

University of South Carolina School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gwinnett Physician Group, LLC

  • Internal Medicine Physician
  • Lawrenceville, GA
  • NPI 1578574661

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Northside Hospital, Inc.

  dba Northside Hospital Gwinnett

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  NPD (past)

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1942839089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 TREE LN STE A101",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782390",
            "telephone_number": "770-972-6464",
            "fax_number": "770-972-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 TREE LN STE A101",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782390",
            "telephone_number": "770-972-6464",
            "fax_number": "770-978-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLENS",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "99642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lennette Gibson, RN
• Veronica Ikonge Gichana, NP
• Alejandra Gil
• Tierra Gilbert, BCBA
• Christine Evette Giles, M.S., CCC-SLP
• Cary Bruce Gilman, M.D.
• Arianna Caridad Gimeno-Viamonte
• Kristin Rishodd Givan, DDS
• Give Thanks to God LLC
• Shakya M Gladney

• Obstetrics & Gynecology Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.