RICHARD WILLIAM KIMMERLING (NPI# 1174626543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174626543 |
| Entity Type | Individual |
| Full Name | RICHARD WILLIAM KIMMERLING |
| Credential | MD |
| Practice Address |
5610 Forkwood Dr Nw Acworth GA 30101-8023 |
| Practice Telephone | 7705908915 |
| Practice Fax Number | 7702180998 |
| Mailing Telephone | 7705908915 |
| Mailing Fax Number | 7702180998 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 11710 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00068054A | 05 | |
| AMERIGREEN | 10047230 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780003608 | Richard Kimmerling | Psychologist | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2014-04-08 |
| Street Address |
5610 FORKWOOD DR NW |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-8023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1508106600 | Kali L Gordon | General Practice | 6380 Bells Ferry Rd Ste 107, Acworth, GA 30102-5435 | 2013-02-26 |
| 1790195261 | Ellis Mossaded | General Practice | 3889 Cobb Pkwy Nw, Acworth, GA 30101 | 2014-05-05 |
| 1275781759 | Clj Healthcare, LLC | General Practice | 6572 Highway 92, Suite 200, Acworth, GA 30102-7562 | 2008-09-09 |
| 1104000660 | Clara M Picayo Md Professional Corporation | General Practice | 5570 Bells Ferry Rd, Acworth, GA 30102-2526 | 2007-12-19 |
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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.