MEDICARE: PHILIP O. KIMSEY M.D., IFMCP

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	207Q00000X	Family Medicine Physician	039837	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033101357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP O. KIMSEY M.D., IFMCP

Provider Business Mailing Address
First Line	:	PO BOX 742616
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-2616
Country	:	US
Telephone Number	:	770-219-8420
Fax Number	:

Provider Business Practice Location Address
First Line	:	4607 SHERMAN ALLEN WAY
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30507-8866
Country	:	US
Telephone Number	:	678-936-6428
Fax Number	:	888-448-0893

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	03/30/2026

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Directions to “ PHILIP O. KIMSEY M.D., IFMCP” Practice Location

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