1. Home
  2. Directory
  3. Georgia
  4. Conyers
  5. Clinic Center
  6. NPI Profile

KIMBLE CARE MEDICAL SERVICES
NPI 1114694460
Clinic/Center - Primary Care in Conyers, GA

Active since August 25, 2021CLIA 11D2181461 · Waiver
3340 OAK DR SE, CONYERS, GA 30013(770) 881-7100 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimble Care Medical Services NPPES

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

KIMBLE CARE MEDICAL SERVICES (NPI 1114694460), doing business as Kcms, is a healthcare organization registered as a primary care in Conyers, Georgia and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Myia Kimble, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1114694460
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKIMBLE CARE MEDICAL SERVICES
Location Address3340 OAK DR SEConyers, GA 30013-2354
Mailing Address3340 Oak Dr SeConyers, GA 30013-2354 · (770) 899-7268
Phone(770) 881-7100
Organization SubpartNo
Authorized OfficialMyia KimbleOwner Operator · (770) 899-7268
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1114694460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3340 OAK DR SE, Conyers, GA 30013
Open in Google Maps ↗

Other Names 2

Doing Business AsKcms
Doing Business AsKimble Care Staffing

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2181461

Kimble Care Medical Services · Conyers, GA
Active · expires Jun 1, 2028
CLIA Number11D2181461
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorMyia F. Kimble
Laboratory Phone(706) 998-2838
Laboratory LocationKimble Care Medical Services3340 Oak Drive, SE, Conyers, GA 30013
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kimble Care Medical Services's NPI number?

The NPI number for Kimble Care Medical Services is 1114694460. It was assigned to this organization in the NPPES registry on August 25, 2021. The provider is doing business as Kcms and Kimble Care Staffing.

Where is Kimble Care Medical Services located?

Kimble Care Medical Services is located at 3340 Oak Dr SE, Conyers, GA 30013. The listed phone number is (770) 881-7100.

What is Kimble Care Medical Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Kimble Care Medical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2181461) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kimble Care Medical Services was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.