KIMBERLY E PICKENS
Family Medicine

Address: 504 Gordon Ave, Thomasville, GA 31792-6646

KIMBERLY E PICKENS (NPI# 1437478047) 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) 1437478047
Entity Type Individual
Full Name KIMBERLY E PICKENS
Gender Female
Credential M.D.
Practice Address 504 Gordon Ave
Thomasville
GA 31792-6646
Practice Telephone 2292366601
Practice Fax Number 2292366602
Mailing Address 15125 Us Hwy 19 S
Pmb 380
Thomasville
GA 31792-4840
Mailing Telephone 2292366601
Mailing Fax Number 2292366602
Certification Date 2020-08-05
Enumeration Date 2010-05-21
Last Update Date 2020-08-05
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 067729 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Locations

Address Telephone Number Fax Number
504 Gordon Ave, Thomasville, GA 317926646 2292366601 2292366602
2621 E Pinetree Blvd, Thomasville, GA 317924840 2295844100 2295844152

Physician Overview

PECOS Associate Control (PAC) ID 0941449821
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20200915003661
Last Name PICKENS
First Name KIMBERLY
Location 1554 Surgeons Dr, Tallahassee, FL 32308-4631
Medical School KANSAS CITY MEDICAL COLLEGE
Graduation Year 2009
Primary Specialty FAMILY MEDICINE

Office Location

Street Address 504 GORDON AVE
City THOMASVILLE
State GA
Zip Code 31792-6646

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366568198 James Myles Lewis Jr. Dentist · General Practice 504 Gordon Ave, Thomasville, GA 31792-6646 2007-03-22
1760046593 Patient 1st Health & Wellness Associates, LLC Family Medicine · Adult Medicine 504 Gordon Ave, Thomasville, GA 31792-6646 2019-04-26
1376911677 Jordan Williams Nurse Practitioner · Family 504 Gordon Ave, Thomasville, GA 31792-6646 2015-09-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104868785 Adam Michael Frasch Podiatrist · Foot Surgery 510 Gordon Ave, Thomasville, GA 31792-6646 2006-06-11
1558357087 Jennifer Lynn Delarber Physician Assistant 508 Gordon Ave, Thomasville, GA 31792-6646 2005-09-20
1477153575 Tallahassee Neurology Specialists, P.l. Durable Medical Equipment & Medical Supplies 500 Gordon Ave, Thomasville, GA 31792-6646 2020-10-28
1538693197 Amgir, Inc. · Vita, Vascular Interventional of Thomasville Associates Radiology · Vascular & Interventional Radiology 508 Gordon Ave, Thomasville, GA 31792-6646 2017-04-20
1326436759 Laura Ashley Schwalls Nurse Practitioner · Family 500 Gordon Ave, Thomasville, GA 31792-6646 2015-01-08
1356584742 Daniel & Yokley, PC · Vascular Interventional of Thomasville, Associates Radiology · Vascular & Interventional Radiology 508 Gordon Ave, Thomasville, GA 31792-6646 2009-04-14
1043482391 Interventional Pain Management Of Anesthesiology · Pain Medicine 500 Gordon Ave, Thomasville, GA 31792-6646 2008-03-27
1548439672 South Georgia Family Foot Institue PC Podiatrist · Foot Surgery 510 Gordon Ave, Thomasville, GA 31792-6646 2008-02-22
1255520136 Rose City Orthopaedics Orthopaedic Surgery 500 Gordon Ave, Thomasville, GA 31792-6646 2007-10-17
1669509196 Robert Lee Bradford Physician Assistant · Medical 508 Gordon Ave, Thomasville, GA 31792-6646 2007-02-28
Find all providers in zip 31792-6646

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1245739879 Georgia Pines Community Service Board Community/Behavioral Health 407 Cloverdale Drive, Thomasville, GA 31792 2018-02-09
1932613551 Diana Diaz Physician Assistant 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 2017-11-17
1194249425 Bobbie Frazier · Bobbie Frazier Contractor 400 Cloverdale Dr, Thomasville, GA 31792 2017-07-28
1598132292 Southern Scripts, LLC · Trumarx Drugs Pharmacy · Community/Retail Pharmacy 501 Gordon Avenue, Thomasville, GA 31792 2015-08-28
1508248915 Elizabeth Nicole Keen Behavior Analyst 121 Covington Ave Apt 9, Thomasville, GA 31792 2015-06-22
1417341579 Sheila L Stanley Counselor · Professional 301 Summercreek Cove, Thomasville, GA 31792 2015-03-26
1457749301 Ashley Lamb · Ashley Kirbo Speech-Language Pathologist 1203 East Jackson Street, Thomasville, GA 31792 2014-12-30
1831403880 Somnoquest Durable Medical Equipment & Medical Supplies 556 Hall Road, Thomasville, GA 31792 2010-08-02
1508000183 Kashyap B Choksi Internal Medicine 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 2009-04-27
1205008786 Mark J Glaccum Chiropractor 415 Gordon Avenue, Thomasville, GA 31792 2008-03-25
Find all providers in zip 31792

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033778923 Shaw Living PC 2484 E Pinetree Blvd, Thomasville, GA 31792-4854 2019-06-13
1316455124 Med First Immediate Care & Family Practice, Pa 1033 Randolph St Ste 32, Thomasville, NC 27360-5731 2018-01-15
1710276027 Cornerstone Health Care Pa · Cornerstone Family Medicine At Trinity 6329 Unity St, Ste I, Thomasville, NC 27360-7186 2011-04-07
1912156878 Clarke County Family Medicine LLC 33650 Highway 43 Ste 100, Thomasville, AL 36784-3307 2008-09-16
1831353036 Archbold Medical Group, Inc. 900 Cairo Rd, Thomasville, GA 31792-4255 2008-07-16
1093873879 Thomasville Primary Care 708 S Broad St, Thomasville, GA 31792-6107 2006-12-05
1548343593 Jeremy W Poole 951 S Broad St, Thomasville, GA 31792-6161 2006-10-23
1316041478 Family Medical Center-Thomasville PC 1415 Mosley Drive, Thomasville, AL 36784 2006-09-11
1144322306 Clarke County Medical Group LLC 3050 Highway 5, Unit 134, Thomasville, AL 36784-4325 2006-09-01
1144253436 Haresh M Kathard 207 Old Lexington Road, Thomasville, NC 27360 2006-07-09
Find all providers in THOMASVILLE

Competitor

Search similar providers

City THOMASVILLE
Zip Code 31792

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1164628996 Moral of Pickens Inc. · Corner Drug Store Pharmacy · Community/Retail Pharmacy 205 W Cedar Rock St, Pickens, SC 29671-2451 2007-06-27
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1952529091 Alex Pickens & Assoc M D P C · Pickens Medical Center Obstetrics & Gynecology · Hospice and Palliative Medicine 15639 W Mcnichols Rd, Detroit, MI 48235-3541 2007-04-23
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1851463251 Eunice Mavis Wilson Nurse Practitioner 200 Mcdaniel Avenue, Pickens County Health Center, Pickens, SC 29671-2527 2006-11-14

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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.