Healthcare Provider Details

I. General information

NPI: 1073048807
Provider Name (Legal Business Name): KRISTY BEARDEN LINDER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTY MICHELLE BEARDEN DO

II. Dates (important events)

Enumeration Date: 04/30/2017
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 RIVERWOOD PKWY SE STE 1900
ATLANTA GA
30339-2066
US

IV. Provider business mailing address

5410 MARYLAND WAY STE 400
BRENTWOOD TN
37027-8087
US

V. Phone/Fax

Practice location:
  • Phone: 855-212-2273
  • Fax:
Mailing address:
  • Phone: 855-212-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number89125
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number89125
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: