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DR. KIMBERLY ANN SHUMATE MD
NPI 1518997642
Internal Medicine in Atlanta, GA

Active since July 04, 2006PECOS Enrolled
92.26/100
CMS Quality Rating
875 JOHNSON FERRY RD NE, SUITE 200, ATLANTA, GA 30342(404) 778-6100(404) 778-6160 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kimberly Ann Shumate Md NPPES

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

DR. KIMBERLY ANN SHUMATE MD (NPI 1518997642) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (051377) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518997642
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KIMBERLY ANN SHUMATECredential: MD
Location Address875 JOHNSON FERRY RD NE, SUITE 200Atlanta, GA 30342-1418
Mailing Address875 Johnson Ferry Rd Ne, Suite 200Atlanta, GA 30342-1418 · (404) 778-6100 · Fax (404) 778-6160
Phone(404) 778-6100
Fax(404) 778-6160
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateJune 4, 2009
✔ NPI 1518997642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 051377
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
875 JOHNSON FERRY RD NE, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN20410AGA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Ann Shumate Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Shumate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Emory Clinic Inc
8.2 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

DR. DIAMONDIS JOHN PAPADOPOULOS M.D.
Dermatology (MOHS-Micrographic Surgery)
875 JOHNSON FERRY RD NE, STE 300
ATLANTA, GA 30342
Fulton County (404) 257-9933
DR. MOJI DEMI ARIYO MD
Internal Medicine
875 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 778-6100
NINA SINGH PA
Physician Assistant
875 JOHNSON FERRY RD NE, 300
ATLANTA, GA 30342
Fulton County (404) 257-9933
CHERYL D BUCK-PATTERSON MD
Internal Medicine
875 JOHNSON FERRY RD NE, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 778-6100
DIANA IOANA POPA CNP
Nurse Practitioner
875 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 778-6070
METRODERM, P.C.
Dermatology (MOHS-Micrographic Surgery)
875 JOHNSON FERRY RD NE, SUITE 300
ATLANTA, GA 30342
Fulton County (404) 257-9933
AMY E KIM MD
Dermatology (MOHS-Micrographic Surgery)
875 JOHNSON FERRY RD NE, SUITE 300
ATLANTA, GA 30342
Fulton County (404) 257-9933
LEE A COULTER P.A.-C
Physician Assistant
875 JOHNSON FERRY RD NE, STE 300
ATLANTA, GA 30342
Fulton County (404) 257-9933

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 Shumate's NPI number?

The NPI number for Kimberly Shumate is 1518997642. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Kimberly Shumate located?

Kimberly Shumate practices at 875 Johnson Ferry Rd NE Suite 200, Atlanta, GA 30342. The listed phone number is (404) 778-6100.

What is Kimberly Shumate's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kimberly Shumate enrolled in Medicare?

Yes. Kimberly Shumate is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Shumate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Shumate reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Shumate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Shumate accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kimberly Shumate 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 Kimberly Shumate was last updated on June 4, 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.