Kimberley P Shanks (NPI# 1508887621, PAC ID# 2163595513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1508887621 |
| PAC ID by PECOS | 2163595513 |
| Professional Enrollment ID | I20080718000306 |
| Full Name | Kimberley P Shanks |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Address |
950 S Enota Dr Ne Gainesville GA 30501-2439 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2001 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 6901898386 |
| Number of Group Practice Members | 418 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1515 River Pl, Suite 380, Braselton, GA 30517-5605 | 7708489345 | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| 597 S Enota Dr Ne, Gainesville, GA 30501-2545 | 7702198275 | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| 950 S Enota Dr Ne, Gainesville, GA 30501-2439 | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Physicians | 403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Huckle | Sports Medicine | Northeast Georgia Physicians Group Inc | 1404 River Pl, Suite 401, Braselton, GA 30517-5600 |
| Cinandra Sweatman | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 200 Wisteria Dr, Gainesville, GA 30501-3827 |
| Jennifer B Cobernus | Family Medicine | Northeast Georgia Physicians Group Inc | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Rishita Patel | Family Medicine | Northeast Georgia Physicians Group Inc | 2825 Keith Bridge Rd, Suite 100, Cumming, GA 30041-4304 |
| Lorraine Laura Laplace | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Christopher William Soika | General Surgery | Northeast Georgia Physicians Group Inc | 1400 River Pl, Braselton, GA 30517-5600 |
| Shaakira A Ford | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 4919 Atlanta Hwy, Flowery Branch, GA 30542-3328 |
| Ehren M Gleckler | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 12 7th St, Auburn, GA 30011-3202 |
| James Gregory Hamilton Iii | Family Medicine | Northeast Georgia Physicians Group Inc | 95 Morrison Moore Pkwy W, Dahlonega, GA 30533-1588 |
| Brandi Michelle Ricks | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3931 Mundy Mill Rd A, Oakwood, GA 30566-3431 |
| Street Address |
950 S ENOTA DR NE |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-2439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Jackson | Internal Medicine | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Gainesville, GA 30501-2439 |
| David L Quinn | Physician Assistant | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Gainesville, GA 30501-2439 |
| Laura J Banner | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Suite B, Gainesville, GA 30501-2439 |
| R Mark Hazel | Orthopedic Surgery | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Gainesville, GA 30501-2439 |
| Arif Patni | Family Medicine | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Gainesville, GA 30501-2439 |
| Paul Q Cerny | Family Medicine | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Gainesville, GA 30501-2439 |
| Jennifer T Leech | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Suite B, Gainesville, GA 30501-2439 |
| Shannon S Ellis | Family Medicine | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Gainesville, GA 30501-2439 |
| Tawanna J.s. Strauther | Family Medicine | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Gainesville, GA 30501-2439 |
| Craig Joseph Baden | Radiation Oncology | Northeast Georgia Physicians Group Inc | 950 S Enota Dr Ne, Gainesville, GA 30501-2439 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | GAINESVILLE + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Kimberley P Shanks.
| 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.