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MRS. KIMBERLY G LUCKMAN NP
NPI 1477197812
Nurse Practitioner - Adult Health in Lagrange, GA

Active since October 29, 2019
505 JENKINS ST, LAGRANGE, GA 30240(706) 407-0161(706) 756-1404 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2021, May 25, 2021, Oct 29, 2019 (3 updates tracked since 2019).

About Mrs. Kimberly G Luckman Np NPPES

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

MRS. KIMBERLY G LUCKMAN NP (NPI 1477197812) is an individual adult health provider in Lagrange, Georgia, licensed in Georgia (RN285427) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1477197812
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KIMBERLY G LUCKMANCredential: NP
Location Address505 JENKINS STLagrange, GA 30240-4225
Mailing Address505 Jenkins StLagrange, GA 30240-4225 · (706) 407-0161 · Fax (706) 756-1404
Phone(706) 407-0161
Fax(706) 756-1404
Sole ProprietorNo
Enumeration DateOctober 29, 2019
Last NPPES UpdateJuly 29, 20213 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1477197812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN285427
505 JENKINS ST, Lagrange, GA 30240
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Other Providers at the Same Location NPPES 6

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

REGIONAL INFECTIOUS DISEASES AND INFUSION CENTER INC
Internal Medicine (Infectious Disease)
505 JENKINS ST
LAGRANGE, GA 30240
Troup County (706) 739-7789
LAGRANGE PRIMARY CARE PC
Internal Medicine
505 JENKINS ST
LAGRANGE, GA 30240
Troup County (678) 923-9486
HUTTO LIMB AND BRACE, LLC
Prosthetic/Orthotic Supplier
505 JENKINS ST
LAGRANGE, GA 30240
Troup County (706) 884-6114
REGIONAL INFECTIOUS DISEASES AND INFUSION CENTER INC
Internal Medicine (Infectious Disease)
505 JENKINS ST
LAGRANGE, GA 30240
Troup County (706) 739-7789
DR. RAVI KUMAR KAMEPALLI M.D.
Internal Medicine (Infectious Disease)
505 JENKINS ST
LAGRANGE, GA 30240
Troup County (706) 739-7789
HEART & VASCULAR CARE OF GEORGIA PC
Internal Medicine (Cardiovascular Disease)
505 JENKINS ST
LAGRANGE, GA 30240
Troup County (404) 944-7914

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 Luckman's NPI number?

The NPI number for Kimberly Luckman is 1477197812. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Kimberly Luckman located?

Kimberly Luckman practices at 505 Jenkins St, Lagrange, GA 30240. The listed phone number is (706) 407-0161.

What is Kimberly Luckman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kimberly Luckman was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.