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KELLEY B JIMISON CPNP
NPI 1891715074
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since July 20, 2006PECOS Enrolled
30 JESSE HILL JR DRIVE, ATLANTA, GA 30303(404) 616-5650 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley B Jimison Cpnp NPPES

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

KELLEY B JIMISON CPNP (NPI 1891715074) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (140352) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891715074
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLEY B JIMISONCredential: CPNP
Location Address30 JESSE HILL JR DRIVEAtlanta, GA 30303
Mailing Address2133 Bishop Creek DrMarietta, GA 30062-6311
Phone(404) 616-5650
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 11, 2016
✔ NPI 1891715074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · 140352
30 JESSE HILL JR DRIVE, Atlanta, GA 30303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley B Jimison Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

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 Kelley Jimison's NPI number?

The NPI number for Kelley Jimison is 1891715074. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Kelley Jimison located?

Kelley Jimison practices at 30 Jesse Hill Jr Drive, Atlanta, GA 30303. The listed phone number is (404) 616-5650.

What is Kelley Jimison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelley Jimison enrolled in Medicare?

Yes. Kelley Jimison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Jimison was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.