KIMBERLEY P SHANKS (M.D) – Allergy & Immunology Physician, NPI 1508887621

KIMBERLEY P SHANKS (M.D) is a healthcare provider. based in Atlanta, Georgia. specializing in ALLERGY/IMMUNOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D. They hold a License No. 057840 (GA). The NPI Number for KIMBERLEY P SHANKS (M.D) is 1508887621

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEY P SHANKS (M.D)
NPI
1508887621
Phone
(770) 219-8420
Address
PO BOX 742616
Enumeration Date
22 July 2006
Last Update Date
6 October 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7624668678
Graduation Year
2001 (25 years ago)
PAC ID
2163595513
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20080718000306
Address ID
GA305012089GA2500XPKWY300

Contacts

Secure Messaging
kshanks29403@nghs.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

137 ALLERGY/IMMUNOLOGY in GA

Provider Addresses for KIMBERLEY P SHANKS (M.D)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 1515 River Pl Ste 380

    Braselton, GA 305175605

    Phone: (770) 848-9345

    Fax: (770) 848-9346

    Type: Location

  • 2510, Limestone Parkway, Woodlake, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305012089

    Phone: (770) 534-9933

    Fax: (770) 594-8999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 146 Open Payments records for all available years, with a total value of $3,609.

Total Amount is formed as General ($3,609) + Research ($0) + Ownership ($0) = $3,609.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($924).

Total Amount

$3,609

General + Research + Ownership

Payments

146

Total payment records

General Amount

$3,609

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2008-07-18

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
I20080718000306IAllergy/ImmunologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract1,86040$0
95024Test for allergy using allergenic extract injected into skin24225$0
95165Professional service for preparation and provision of 1 or more antigens20511$0
99214Established patient office or other outpatient visit, 30-39 minutes19098$0
95117Professional service for multiple injections of allergen16227$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Provider's Procedures

KIMBERLEY P SHANKS (M.D) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYGA95004Injection of allergenic extracts into skin, accessed through the skin237553

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: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

Can I verify KIMBERLEY P SHANKS (M.D) with an NPI only?
You can start verification with NPI 1508887621 for KIMBERLEY P SHANKS (M.D), then check state licensing separately.
Is KIMBERLEY P SHANKS (M.D) listed as active for patients and plans?
The listing shows KIMBERLEY P SHANKS (M.D) as active in the NPI system.
What is KIMBERLEY P SHANKS (M.D)'s primary classification?
Allergy & Immunology Physician is the headline specialty for KIMBERLEY P SHANKS (M.D) here. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLEY P SHANKS (M.D) on a map?
Expect Atlanta, Georgia as a primary anchor for KIMBERLEY P SHANKS (M.D) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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