KIMBERLY ANNE WILMOTH


Address: 1336 Highway 54 W, Fayetteville, GA 30214-4535
Phone: 7704611238

KIMBERLY ANNE WILMOTH (NPI# 1679019020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679019020
Entity Type Individual
Full Name KIMBERLY ANNE WILMOTH
Credential APRN, FNP-C
Practice Address 1336 Highway 54 W
Fayetteville
GA 30214-4535
Practice Telephone 7704611238
Mailing Telephone 7704611238
Enumeration Date 2017-01-10
Last Update Date 2017-06-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN122557 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003187048B 05
GA 003187048A 05

Office Location

Street Address 1336 HIGHWAY 54 W
City FAYETTEVILLE
State GA
Zip Code 30214-4535

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891795407 Tara Beth Gochenour Specialist/Technologist 1336 Highway 54 W, Bldg 500, Fayetteville, GA 30214-4535 2005-07-26
1538523964 Christopher Bryan Bush Nurse Practitioner 1336 Highway 54 W, Bldg. 500, Fayetteville, GA 30214-4535 2016-04-12
1457630659 Laura H Taylor Specialist/Technologist 1336 Highway 54 W, Bldg 500, Fayetteville, GA 30214-4535 2011-08-05
1407090459 Edan Shapiro Urology 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 2009-04-21
1245473990 Hagop Sarkissian Urology 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 2009-04-10
1124295357 Amita Agarwal Occupational Therapist 1336 Highway 54 W, Fayetteville, GA 30214-4535 2008-05-16
1861679805 John Thomas Abbott Jr. Urology 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 2008-01-22
1942426168 Georgia Urology Pa Urology 1336 Highway 54 W, Building 200, Fayetteville, GA 30214-4535 2007-04-17
1649307885 Resurgens, PC Orthopaedic Surgery 1336 Highway 54 W, Building 500, Fayetteville, GA 30214-4549 2007-02-27
1053414458 Scott W Shelfo Urology 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 2006-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528674181 Maggie Mullican Nurse Practitioner 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 2020-09-18
1720690167 Stephen Arthur Lepak Nurse Practitioner 6871 Appleton Dr, Fayetteville, PA 17222-9383 2020-08-18
1750990255 Towauna Daya Nurse Practitioner 1338 Redwine Rd, Fayetteville, GA 30215-2509 2020-07-30
1316555642 Constance Ofundem Takang Nurse Practitioner 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 2020-07-22
1851916472 Breanna Mills Nurse Practitioner 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 2020-06-09
1922621069 Laura Sarai Perez Nurse Practitioner 480 Lees Lake Rd, Fayetteville, GA 30214-3106 2020-05-23
1902431125 Crystal Baker English Nurse Practitioner 113 Old Bethel Rd, Fayetteville, TN 37334-6186 2020-03-09
1568092708 Stephanie Elizabeth Fields Nurse Practitioner 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 2020-01-15
1437616364 Andrea Teal Bergman Nurse Practitioner Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 2019-02-27
1639634447 Arica Adams-gro'ce Nurse Practitioner 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 2019-02-06
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

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.

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