ROSALID KIMANI – Psychiatric/Mental Health Nurse Practitioner, NPI 1376292839

ROSALID KIMANI is a healthcare provider. based in Johns creek, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. AP61368059 (WA). The NPI Number for ROSALID KIMANI is 1376292839

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ROSALID KIMANI
NPI
1376292839
Phone
(470) 737-1569
Address
10475 Medlock Bridge Rd Ste 420
Enumeration Date
22 March 2022
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7704381799
Graduation Year
2021 (5 years ago)
PAC ID
0042695348
Group Practice PAC ID
4981736519
Professional Enrollment ID
I20220922003542
Address ID
GA301218005CA15XXXNEXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for ROSALID KIMANI

  • 10475 Medlock Bridge Rd Ste 420

    Johns Creek, GA 300974439

    Phone: (470) 737-1569

    Fax: (833) 973-2670

    Type: Location

  • 1 Baltimore Pl NW Ste 200

    Atlanta, GA 303082114

    Phone: (470) 737-1606

    Fax: (833) 973-4256

    Type: Location

  • 6025 Professional Pkwy Ste 301

    Douglasville, GA 301345610

    Phone: (770) 438-1799

    Fax: (770) 825-9046

    Type: Location

  • 11755 Pointe Pl Ste A1

    Roswell, GA 300764657

    Phone: (770) 667-1264

    Fax: (770) 667-2238

    Type: Location

  • 1314 Concord Rd SE

    Smyrna, GA 300804361

    Phone: (770) 438-1799

    Fax: (770) 825-9046

    Type: Location

  • 1012 Coggins Pl NE

    Marietta, GA 300602585

    Phone: (770) 422-2009

    Fax: (770) 428-0330

    Type: Location

  • 197 RYANS PT

    DALLAS, GA 301320564

    Phone: (404) 723-9480

    Type: Mailing

  • 1301 HIGHTOWER TRL STE 150

    ATLANTA, GA 303502971

    Phone: (404) 497-1830

    Type: Location

  • 1314 CONCORD RD SE

    SMYRNA, GA 300804361

    Phone: (770) 438-1799

    Fax: (770) 825-9046

    Type: Mailing

  • 15 MEDICAL DR NE STE 350

    CARTERSVILLE, GA 301218005

    Phone: (470) 737-1606

    Fax: (833) 973-4256

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 139 Open Payments records for all available years, with a total value of $2,567.

Total Amount is formed as General ($2,567) + Research ($0) + Ownership ($0) = $2,567.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($616).

Total Amount

$2,567

General + Research + Ownership

Payments

139

Total payment records

General Amount

$2,567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220922003542INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30097)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981736519View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
Marriage And Family TherapistGA
Nurse PractitionerGA
Nurse PractitionerGA
Certified Clinical Nurse Specialist (Cns)GA
Clinical Social WorkerGA
P S Y C H I A T R YGA
Clinical Social WorkerGA
Mental Health CounselorGA

Reviews

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Frequently asked questions

What unique ID ties claims to ROSALID KIMANI?
NPI 1376292839 is assigned to ROSALID KIMANI under the national enumeration system.
Does this profile mean ROSALID KIMANI is currently active?
Yes — ROSALID KIMANI appears active in the national provider directory.
Can you summarize ROSALID KIMANI's specialty in plain language?
Clinically, the directory lists ROSALID KIMANI with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ROSALID KIMANI?
The page summarizes Johns Creek, Georgia for ROSALID KIMANI; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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