| Kimberly R Hume, NP-C | |
|
4248 Mount Zion Rd, Carrollton, GA 30117-7602 | |
| (770) 836-0103 | |
| Not Available |
| Full Name | Kimberly R Hume |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4248 Mount Zion Rd, Carrollton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336588631 | NPI | - | NPPES |
| RN195261 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN195261 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN195261 (Georgia) | Primary |
| Entity Name | Georgia Em-i Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285682583 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
| Entity Name | Carrollton Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790724672 PECOS PAC ID: 7416860010 Enrollment ID: O20040122001028 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly R Hume, NP-C Po Box 112, Temple, GA 30179-0112 Ph: () - | Kimberly R Hume, NP-C 4248 Mount Zion Rd, Carrollton, GA 30117-7602 Ph: (770) 836-0103 |
Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828 | |
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477 | |
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237 | |
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922 | |
Alyssa Dianne Paul, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 129 Bankhead Hwy, Carrollton, GA 30117 Phone: 770-838-8440 | |
Mrs. Andrea Logan Bossie, MS, RN, CNN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 526 Bankhead Hwy Ste 101, Carrollton, GA 30117 Phone: 770-962-3642 Fax: 770-962-3643 |