KIMBERLY BATES (MD) – Internal Medicine Physician, NPI 1730166091
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 PEDIATRIC MEDICINE in GA
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Provider Addresses for KIMBERLY BATES (MD)
PO BOX 116360
ATLANTA, GA 303686360
Phone: (678) 312-0450
Type: Mailing
665, Duluth Highway, Lawrenceville, Gwinnett County, Georgia, 30046, United States
SUITE 401
LAWRENCEVILLE, GA 300463328
Phone: (678) 312-0450
Type: Location
52 Underwood St
Orlando, FL 328061110
Phone: (888) 805-0085
Fax: (321) 896-7623
Type: Location
1401 Roosevelt Ave
York, PA 174042244
Phone: (877) 232-5807
Type: Location
8280 W Warm Springs Rd
Las Vegas, NV 891133612
Phone: (702) 492-8592
Fax: (702) 492-8045
Type: Location
1550 W CRAIG RD STE 220
NORTH LAS VEGAS, NV 890320329
Phone: (702) 616-5801
Fax: (702) 399-8431
Type: Location
800 N GIBSON RD STE 201
HENDERSON, NV 890111706
Phone: (702) 616-5801
Type: Location
PO BOX 33269
PHOENIX, AZ 850673269
Phone: (602) 406-4786
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2023-03-21 • Largest payer in this snapshot: Inari Medical, Inc. ($122).
Total Amount
$122
General + Research + Ownership
Payments
1
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $122 |
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: 2026-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140904001513 | I | Pediatric Medicine | GA | TBD |
| I20211027000329 | I | Internal Medicine | NV | TBD |
| I20251113003283 | I | Internal Medicine | MN | TBD |
| I20251121001224 | I | Internal Medicine | PA | TBD |
| I20260227003381 | I | Internal Medicine | FL | TBD |
| I20260227004321 | I | Internal Medicine | LA | TBD |
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.
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 30368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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