Individual provider Active NPI

Kimberly Claire Bell, APRN

  • Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1962009720
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN235380 Issued in GA
Practice address
4220 Coral Park Dr
Brunswick, GA 31520-3016
Phone
(912) 275-8165
Fax
(912) 289-9450
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN235380 GA Primary

Addresses

Primary practice location

4220 Coral Park Dr
Brunswick, GA 31520-3016

Mailing address

4220 Coral Park Dr
Brunswick, GA 31520-3016
Phone (912) 275-8165

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321002403 GA Practitioner - Nurse Practitioner 4789079120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expand Health, LLCGroup PAC ID 7012393531, 4 clinicians

Practice addresses (Care Compare)

3441 Cypress Mill Rd
Suite 101
Brunswick, GA 31520-2879
Phone (912) 419-5148

Hospital & facility affiliations

  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Expand Health, LLC CurrentSince Oct 1, 2024 Accepting new patients
Partners in Health LLC CurrentSince Mar 17, 2022 Accepting new patients

Locations

3441 Cypress Mill Rd
Ste 101
Brunswick, GA 31520
Phone (912) 419-5148

118 Northpark Dr
Brunswick, GA 31520
Phone (912) 265-5035

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJHCDA
  • FHIR API: https://api.platform.athenahealth.com/27218/brand/1/csg/1/fhir/r4

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1962009720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CORAL PARK DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203016",
            "telephone_number": "912-275-8165",
            "fax_number": "912-289-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CORAL PARK DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203016",
            "telephone_number": "912-275-8165",
            "fax_number": "912-289-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "KIMBERLY",
        "middle_name": "CLAIRE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN235380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.