MEDICARE: KIMBERLEY N PRYOR D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	5101014424	MI
2	207R00000X	Internal Medicine Physician	5101014424	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	70-0-F32947-0	OTHER	MI	BCBS CPIN #
2	KT014424	OTHER	MI	BCBSM
3	1578557559	OTHER	MI	NPI #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578557559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLEY N PRYOR D.O.

Provider Business Mailing Address
First Line	:	1080 PEACHTREE ST NE UNIT 1910
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-6825
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE RM 3356
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2247
Country	:	US
Telephone Number	:	404-686-6730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	11/28/2018

Similar Medicare Providers

1386056372 — DR. CAMILLE FRANCES STANBACK M.D.
Practice Location Address:

550 PEACHTREE ST NE STE 1950
ATLANTA, GA
30308-2247

Practice Phone: 404-778-3280
Practice Fax:

1174553044 — ALAN B LIPPITT MD
Practice Location Address:

550 PEACHTREE ST NE , #1770
ATLANTA, GA
30308-2247

Practice Phone: 404-577-5459
Practice Fax:

1013904390 — DR. HOWARD A. MCMAHAN M.D.
Practice Location Address:

550 PEACHTREE ST NE FL 19
ATLANTA, GA
30308-2247

Practice Phone: 404-215-2000
Practice Fax: 404-215-2001

1326037201 — DR. LAURENCE BRUCE BALTER MD
Practice Location Address:

550 PEACHTREE ST NE
ATLANTA, GA
30308-2247

Practice Phone: 404-686-4411
Practice Fax:

1811965445 — DR. JAMES ALEXANDER DOLAK M.D., PH.D.
Practice Location Address:

550 PEACHTREE ST NE , DEPT. OF ANESTHESIOLOGY, EMORY CRAWFORD LONG HOSP
ATLANTA, GA
30308-2247

Practice Phone: 404-686-2316
Practice Fax: 404-686-4949

1497706931 — JOHN EDWARD LEWIS JR. MD
Practice Location Address:

550 PEACHTREE ST NE DEPT OF
ATLANTA, GA
30308-2247

Practice Phone: 404-686-7449
Practice Fax: 404-686-4332

Directions to “ KIMBERLEY N PRYOR D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.