KYMBERLY D ANDERSON (NPI# 1093180481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093180481 |
| Entity Type | Individual |
| Full Name | KYMBERLY D ANDERSON |
| Credential | NP |
| Practice Address |
204 E 15th St Alma GA 31510-2908 |
| Practice Telephone | 9126322952 |
| Mailing Telephone | 9126322952 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN149756 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003174390A | 05 | |
| GA | MEDICARE PTAN | 202I509677 | 01 |
| Street Address |
204 E 15TH ST |
| City | ALMA |
| State | GA |
| Zip Code | 31510-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760433304 | Khaldon A Al Saadi | Surgery | 204 E 15th St, Alma, GA 31510-2908 | 2006-05-16 |
| 1467085217 | Janna Mullis Moody | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2020-02-20 |
| 1952836504 | Crh Physician Practices, LLC | Surgery | 204 E 15th St, Alma, GA 31510-2908 | 2017-04-20 |
| 1558808626 | Sheryl Turner Cox | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2017-01-26 |
| 1518318054 | Neha Kakkar | Internal Medicine | 204 E 15th St, Alma, GA 31510 | 2016-06-27 |
| 1912358755 | Ian Furtado | Family Medicine | 204 E 15th St, Alma, GA 31510-2908 | 2016-06-22 |
| 1336560952 | South Georgia Physicians Group, LLC | Surgery | 204 E 15th St, Alma, GA 31510 | 2013-12-27 |
| 1689935306 | South Georgia Primary Care, Inc. | Family Medicine | 204 E 15th St, Alma, GA 31510-2908 | 2012-05-30 |
| 1366769457 | Gabor Kovacs Md, LLC | Specialist | 204 E 15th St, Alma, GA 31510-2908 | 2010-04-28 |
| 1275777971 | Rachel Burke Glass | Pediatrics | 204 E 15th St, Alma, GA 31510-2908 | 2009-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693407 | Shepard Therapy Center | Occupational Therapist | 139 Ga Highway 32 Byp, Alma, GA 31510 | 2019-11-13 |
| 1760027320 | Sean Shepard | Physical Therapist | 139 Ga Hwy 32 Bypass, Alma, GA 31510 | 2019-11-07 |
| 1043875586 | Tricare Ambulance Service L.L.C. | Ambulance | 172 Pine Hollow Ln, Alma, GA 31510 | 2019-05-09 |
| 1053806299 | Eva Fedd | Counselor | 901 North Pierce St, Alma, GA 31510 | 2018-06-29 |
| 1730570268 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1041 S Us Highway 1, Alma, GA 31510 | 2015-02-05 |
| 1356475644 | Bacon County Family Medicine, LLC | Family Medicine | 205 South Wayne Street, Alma, GA 31510 | 2007-03-16 |
| 1720124043 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 1835 W 12th Street, Alma, GA 31510 | 2007-01-30 |
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| 1992899082 | George Joel Williams Jr. | Dentist | 408 E 16th St, George J Williams Dds, Alma, GA 31510 | 2006-10-03 |
| 1093829343 | Charles E Bagley Mdpc | Family Medicine | 210 E 16th Street, Alma, GA 31510 | 2006-08-17 |
| Find all providers in zip 31510 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114371861 | Keri Foster | Nurse Practitioner | 906 7th Street, Alma, NE 68920-0665 | 2016-04-19 |
| 1871868612 | We Care Family Practice, Inc. | Nurse Practitioner | 204 S Dixon St, Alma, GA 31510-2704 | 2012-03-13 |
| 1740815547 | Timothy Burggraf | Nurse Practitioner | 300 E Warwick Dr, Alma, MI 48801-1096 | 2020-03-12 |
| 1467085217 | Janna Mullis Moody | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2020-02-20 |
| 1427532936 | Brittany M Cline | Nurse Practitioner | 245 E Warwick Dr, Alma, MI 48801-1026 | 2018-09-20 |
| 1326522053 | Rachel Ann Bade | Nurse Practitioner | 300 E Warwick Dr, Alma, MI 48801-1014 | 2018-09-19 |
| 1609350438 | Kristina Marie Hug | Nurse Practitioner | 311 E Warwick Dr, Alma, MI 48801-1088 | 2018-09-18 |
| 1770098410 | Jennifer Darlene Dowling | Nurse Practitioner | 1126 W 12th St, Alma, GA 31510-1814 | 2017-12-04 |
| 1639681448 | Jill Leanne Davenport | Nurse Practitioner | 311 E Warwick Dr, Alma, MI 48801-1088 | 2017-11-02 |
| 1558808626 | Sheryl Turner Cox | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2017-01-26 |
| Find all providers in ALMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.