KIMONE MONET JAMES M.D.
NPI 1255521803
Internal Medicine - Nephrology in Marietta, GA

Q: What is Kimone James's NPI number?

The NPI number for Kimone James is 1255521803. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Q: What is Kimone James's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Kimone James was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment

92.93/100

CMS Quality Rating

55 WHITCHER ST NE, SUITE 460, MARIETTA, GA 30060(770) 427-7389(770) 427-1492 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kimone Monet James M.d. NPPES

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

KIMONE MONET JAMES M.D. (NPI 1255521803) is an individual nephrology provider in Marietta, Georgia, licensed in Georgia (67477) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255521803

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameKIMONE MONET JAMESCredential: M.D.

Location Address55 WHITCHER ST NE, SUITE 460Marietta, GA 30060-1155

Mailing Address55 Whitcher St Ne, Suite 460Marietta, GA 30060-1155 · (770) 427-7389 · Fax (770) 427-1492

Phone(770) 427-7389

Fax(770) 427-1492

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 30, 2007

Last NPPES UpdateAugust 1, 2019

✔ NPI 1255521803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in GA · 67477

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2010-02114 (NC)

Also ListedHospitalistTaxonomy 208M00000X · License MD.201527 (LA)

55 WHITCHER ST NE, Marietta, GA 30060

Open in Google Maps ↗

Other Identifiers 22

Medicaid003122514IGA

Medicaid003122514KGA

Medicaid003122514NGA

Medicaid003122514RGA

Medicaid003122514TGA

Medicaid003122514LGA

Medicaid07220802MS

Medicaid003122514JGA

Medicaid003122514MGA

Medicaid003122514SGA

Medicaid003122514QGA

Medicaid003122514UGA

Medicaid1077445LA

Medicaid003122514AGA

Medicaid003122514GGA

Medicaid003122514PGA

Medicaid003122514CGA

Medicaid003122514DGA

Medicaid003122514EGA

Medicaid003122514HGA

Medicaid003122514OGA

Medicaid003122514FGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 and accepts Medicare assignment

Kimone Monet James M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496807885

PECOS Enrollment IDI20120808000611

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.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

352 services184 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

290 services41 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

224 services103 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

172 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

152 services85 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

148 services78 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

138 services34 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

137 services52 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

103 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services61 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

81 services13 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

78 services52 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

74 services72 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

68 services34 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

40 services26 patients

Administration of hepatitis b vaccine G0010

The Hepatitis B vaccine is a preventive measure against the Hepatitis B virus. It is given as an injection into the muscle. The vaccine stimulates your body to produce antibodies, providing immunity against the virus. It's typically given in 3 doses over a 6-month period.

38 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services31 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

31 services30 patients

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

26 services13 patients

Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use 90739

The Hepatitis B vaccine for adults is an injection that protects against the Hepatitis B virus. It's usually given as a series of 3 doses over 6 months. This vaccine helps your body build immunity, reducing the risk of Hepatitis B infection and its complications.

19 services18 patients

Hepatitis b vaccine, adult dosage (3 dose schedule) 90746

The Hepatitis B vaccine for adults is given in a 3-dose schedule to protect against the Hepatitis B virus. The first dose is given, followed by a second dose 1 month later, and a final dose 6 months after the first. It helps your body develop immunity to the virus.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.38

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Clinical Information Reconciliation

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.

25%183 patients2/55-star benchmark: 96%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%2,037 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

13%489 patients1/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

2%489 patients1/55-star benchmark: 100%

Request/Accept Summary of Care

40%183 patients1/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

33%489 patients2/55-star benchmark: 99%

Send a Summary of Care

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…

5%57 patients1/55-star benchmark: 99%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

2 suppliers16 claims14,400 services$1.21 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims1,650 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers15 claims2,550 services$0.17 avg. paid by Medicare

Everolimus, oral, 0.25 mg J7527

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims6,600 services$3.94 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers23 claims23 services$18.11 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers31 claims52 services$12.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

DR. ROBERT DAVID JANSEN M.D.

Internal Medicine (Nephrology)

55 WHITCHER ST NE, STE 460
MARIETTA, GA 30060

Cobb County (770) 427-7389

DR. MADHAVI JORDAN MD

Surgery

55 WHITCHER ST NE, SUIT 130
MARIETTA, GA 30060

Cobb County (770) 428-0462

MR. REYES TORRES III PA-C

Physician Assistant

55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060

Cobb County (770) 424-6893

ASIF A SABERI M.D.

Internal Medicine (Critical Care Medicine)

55 WHITCHER ST NE, SUITE 160
MARIETTA, GA 30060

Cobb County (770) 422-1372

BRYAN T. PIEDAD M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060

Cobb County (770) 424-6893

MICHAEL J RILEY M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060

Cobb County (770) 424-6893

KAMARA SUZANNE HEARD ACNP

Nurse Practitioner (Acute Care)

55 WHITCHER ST NE
MARIETTA, GA 30060

Cobb County (770) 422-1372

JACLYN WOOD NP

Nurse Practitioner (Family)

55 WHITCHER ST NE, SUITE 250
MARIETTA, GA 30060

Cobb County (770) 428-4475

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 Kimone James's NPI number?

The NPI number for Kimone James is 1255521803. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Kimone James located?

Kimone James practices at 55 Whitcher St NE Suite 460, Marietta, GA 30060. The listed phone number is (770) 427-7389.

What is Kimone James's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kimone James enrolled in Medicare?

Yes. Kimone James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimone James accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kimone James 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.

Is Kimone James affiliated with any hospitals?

According to CMS data, Kimone James is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Kimone James was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.