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DR. LISA KIMBLE D.D.S.
NPI 1043386782
Dentist - General Practice in Lithia Springs, GA

Active since November 27, 2006PECOS Enrolled
870 CRESTMARK DR, SUITE 100, LITHIA SPRINGS, GA 30122(678) 945-0034(770) 892-4779 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Kimble D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA KIMBLE D.D.S. (NPI 1043386782) is an individual general practice provider in Lithia Springs, Georgia, licensed in Georgia (DNO12313) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043386782
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA KIMBLECredential: D.D.S.
Location Address870 CRESTMARK DR, SUITE 100Lithia Springs, GA 30122-2665
Mailing Address870 Crestmark Dr, Suite 100Lithia Springs, GA 30122-2665 · (678) 945-0034 · Fax (770) 892-4779
Phone(678) 945-0034
Fax(770) 892-4779
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043386782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DNO12313
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
870 CRESTMARK DR, Lithia Springs, GA 30122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Kimble D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTHER ONYIRIMBA
Nurse Practitioner
870 CRESTMARK DR
LITHIA SPRINGS, GA 30122
Douglas County (678) 398-8301
RAJ KUMAR BANSAL MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
870 CRESTMARK DR, STE 201
LITHIA SPRINGS, GA 30122
Douglas County (770) 739-5242
PRECISION SURGERY LLC
Specialist
870 CRESTMARK DR, SUITE 103
LITHIA SPRINGS, GA 30122
Douglas County (678) 398-6900
GREGORY JEMISON
Massage Therapist
870 CRESTMARK DR
LITHIA SPRINGS, GA 30122
Douglas County (770) 948-8000
PHYSICIANS CARE CENTERS OF LITHIA SPRINGS
Family Medicine
870 CRESTMARK DR, SUITE 202
LITHIA SPRINGS, GA 30122
Douglas County (678) 398-8304
RAJ K. BANSAL, M.D., P.C.
Specialist
870 CRESTMARK DR, SUITE 201
LITHIA SPRINGS, GA 30122
Douglas County (770) 739-5242
WEST COBB MEDICAL ASSOCIATES, LLC
Internal Medicine
870 CRESTMARK DR, SUITE 202
LITHIA SPRINGS, GA 30122
Douglas County (678) 398-8301
MS. SERETTA ARSTACIA CRUTCHER MT
Massage Therapist
870 CRESTMARK DR, SUITE 103
LITHIA SPRINGS, GA 30122
Douglas County (404) 428-9043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Kimble's NPI number?

The NPI number for Lisa Kimble is 1043386782. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Lisa Kimble located?

Lisa Kimble practices at 870 Crestmark Dr Suite 100, Lithia Springs, GA 30122. The listed phone number is (678) 945-0034.

What is Lisa Kimble's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lisa Kimble enrolled in Medicare?

Yes. Lisa Kimble is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Kimble accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 other insurers list Lisa Kimble as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Kimble was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.