KIMBERLY HANNON (NPI# 1861594566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861594566 |
| Entity Type | Individual |
| Full Name | KIMBERLY HANNON |
| Credential | PT |
| Practice Address |
3260 Keith Bridge Rd 220 Cumming GA 30041-3937 |
| Practice Telephone | 7708866282 |
| Practice Fax Number | 7702058892 |
| Mailing Telephone | 7708866282 |
| Mailing Fax Number | 7702058892 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT007309 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 602028050A | 05 |
| Street Address |
3260 KEITH BRIDGE RD 220 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730103227 | Grace Therapy Services | Specialist | 3260 Keith Bridge Rd, #220, Cumming, GA 30041-3937 | 2006-07-27 |
| 1437244712 | Michelle Finucan | Specialist | 3260 Keith Bridge Rd, # 220, Cumming, GA 30041-3937 | 2006-10-04 |
| 1073608493 | Lora Ann Pharis | Specialist | 3260 Keith Bridge Rd, 220, Cumming, GA 30041 | 2006-10-03 |
| 1033203484 | Terry Sylvester | Specialist | 3260 Keith Bridge Rd, 220, Cumming, GA 30041 | 2006-10-02 |
| 1225130925 | Marybeth Eby | Specialist | 3260 Keith Bridge Rd, 220, Cumming, GA 30041-3937 | 2006-09-02 |
| 1306948005 | Tracey Raith | Specialist | 3260 Keith Bridge Rd, 220, Cumming, GA 30041-3937 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938538 | Innovative Billing Solutions | Specialist | 1740 Dawn Valley Trl, Cumming, GA 30040-8372 | 2018-10-17 |
| 1609041102 | North Georgia Radiation | Specialist | 1055 Haw Creek Pkwy, Cumming, GA 30041-6564 | 2008-04-25 |
| 1144428582 | Carmen Loyer | Specialist | 3235 Glasco Dr, Cumming, GA 30041-8743 | 2007-07-06 |
| 1619181997 | Kelly Dean Winter | Specialist | 7675 Lanier View Rdg, Cumming, GA 30041-2162 | 2007-05-09 |
| 1922198647 | Malcolm Paul Dulock | Specialist | 319 Canton Rd, Cumming, GA 30040-2213 | 2006-10-13 |
| 1639262660 | Michael Graham Hogan | Specialist | 107 Colony Park Dr Ste 100, Cumming, GA 30040-2763 | 2006-10-02 |
| 1730103227 | Grace Therapy Services | Specialist | 3260 Keith Bridge Rd, #220, Cumming, GA 30041-3937 | 2006-07-27 |
| 1063488088 | Brian Keith Hudes | Specialist | 212 Kelly Mill Rd, Cumming, GA 30040-2317 | 2006-02-28 |
| 1942281761 | Vikram Khetpal | Specialist | 3970 Deputy Bill Cantrell Memorial Rd, Suite 100, Cumming, GA 30040 | 2005-11-09 |
| 1740278753 | Matthew J. Markey | Specialist | 1140 Turner Rd, Cumming, GA 30041-5360 | 2005-10-12 |
| Find all providers in CUMMING | ||||
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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.