KIMBERLY A SERRAVEZZA MD
NPI 1235130626
Psychiatry & Neurology - Sports Medicine in Atlanta, GA
About Kimberly A Serravezza Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY A SERRAVEZZA MD (NPI 1235130626) is an individual sports medicine provider in Atlanta, Georgia, licensed in Georgia (052048) and active in the NPI registry since August 2005. She has opted out of Medicare through October 28, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kimberly A Serravezza Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 28, 2015 through October 28, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30329
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 Kimberly Serravezza's NPI number?
The NPI number for Kimberly Serravezza is 1235130626. It was assigned to this individual provider in the NPPES registry on August 9, 2005.
Where is Kimberly Serravezza located?
Kimberly Serravezza practices at 4 Executive Park East NE Suite 470, Atlanta, GA 30329. The listed phone number is (404) 327-9682.
What is Kimberly Serravezza's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sports Medicine, with taxonomy code 2084S0010X.
Is Kimberly Serravezza enrolled in Medicare?
No. Kimberly Serravezza has opted out of Medicare through October 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kimberly Serravezza was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Kimberly A Serravezza, MD · NPI 1235130626
Sports Medicine physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since August 9, 2005.
## Identity
- **NPI:** 1235130626 (Entity type: Individual)
- **Enumerated:** August 9, 2005
- **Primary specialty:** Psychiatry & Neurology - Sports Medicine · taxonomy 2084S0010X
- **State license:** 052048 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 EXECUTIVE PARK EAST NE, SUITE 470, Atlanta, GA 30329-2245
- **Phone:** (404) 327-9682
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 28, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 24, 2009
- **Other identifiers:** Medicare ID-Type Unspecified 26BDJWH
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Source: [NPI Profile](https://npiprofile.com/npi/1235130626) · Data from the CMS NPPES public registry.