KELLEY B JIMISON (CPNP) – Pediatric Nurse Practitioner, NPI 1891715074
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KELLEY B JIMISON (CPNP)
2133 BISHOP CREEK DR
MARIETTA, GA 300626311
Phone:
Type: Mailing
30, Jesse Hill Junior Drive, Sweet Auburn, Old Fourth Ward, Atlanta, Fulton County, Georgia, 30303, United States
ATLANTA, GA 30303
Phone: (404) 616-5650
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-05-20
PECOS data refreshed: 2026-05-27
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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 30062)
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