Blake Kimbrell (NPI# 1144545096, PAC ID# 1759698277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1144545096 |
PAC ID by PECOS | 1759698277 |
Professional Enrollment ID | I20160707000910 |
Full Name | Blake Kimbrell |
Organization Legal Name | ENT OF ATHENS, LLC |
Address |
150 Nacoochee Ave Athens GA 30601-1823 |
Phone Number | 7065467908 |
Gender | M |
Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2010 |
Primary Specialty | OTOLARYNGOLOGY |
Group Practice PAC ID | 8426129412 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110074 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER |
110006 | ST MARY'S HOSPITAL |
Address | Phone | Organization |
---|---|---|
150 Nacoochee Ave, Athens, GA 30601-1823 | 7065467908 | ENT OF ATHENS, LLC |
Organization Legal Name | ENT OF ATHENS, LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles M Mixson | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Christian H Barnes | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Byron K Norris | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Elizabeth Hoddeson Katz | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
James E Dempsey | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Philip A Sheffield | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Street Address |
150 NACOOCHEE AVE |
City | ATHENS |
State | GA |
Zip | 30601-1823 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles M Mixson | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Christian H Barnes | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Allison Aud Morton | Qualified Audiologist | Georgia Hearing Center | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Byron K Norris | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Kirstin Cox Luffler | Qualified Audiologist | Georgia Hearing Center | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Elizabeth Hoddeson Katz | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Jennifer A Douberly | Qualified Audiologist | Georgia Hearing Center | 150 Nacoochee Ave, Athens, GA 30601-1823 |
James E Dempsey | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Lawrence O Crockett Sr. | Audiologist | Georgia Hearing Center | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Philip A Sheffield | Otolaryngology | Ent of Athens, LLC | 150 Nacoochee Ave, Athens, GA 30601-1823 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda Y Duncan | Nurse Practitioner | Athens Gastroenterology Center,pc | 21 Jefferson Pl, Suite 1, Athens, GA 30601-1761 |
Margret L. Brown | Physician Assistant | Athens Gastroenterology Center,pc | 21 Jefferson Pl, Suite 1, Athens, GA 30601-1761 |
Mary N Dotson | Nurse Practitioner | Athens Gastroenterology Center,pc | 21 Jefferson Pl, Suite 1, Athens, GA 30601-1761 |
Gregory S Smith | Gastroenterology | Athens Gastroenterology Center,pc | 21 Jefferson Pl, Suite 1, Athens, GA 30601-1761 |
Kevin M Mobbs | Physical Therapy | Christopher E. Doerr, D.o., P.C. | 195 Miles St, Athens, GA 30601-1820 |
Jason M Kimsey | Physical Therapy | Christopher E. Doerr, D.o., P.C. | 195 Miles St, Athens, GA 30601-1820 |
Jonathan Weathers | Physical Therapy | Christopher E. Doerr, D.o., P.C. | 195 Miles St, Athens, GA 30601-1820 |
Katherine L Book | Physical Therapy | Christopher E. Doerr, D.o., P.C. | 195 Miles St, Athens, GA 30601-1820 |
Christopher Doerr | Physical Medicine and Rehabilitation | Christopher E. Doerr, D.o., P.C. | 195 Miles St, Athens, GA 30601-1820 |
Patricia M Hopaluk-gay | Physical Therapy | Christopher E. Doerr, D.o., P.C. | 195 Miles St, Athens, GA 30601-1820 |
Find all physicians in zip 30601 |
City | ATHENS |
Zip Code | 30601 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | ATHENS + OTOLARYNGOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.