P Praxis·MD
● Active Type 1 · Individual

DR. Blake Steven Kimbrell, M.D.

Otolaryngology·Athens, GA· NPI 1144545096 · Enumerated 2010 · 16 years on NPI
Kimbrell is 1 of 12 otolaryngology providers in Athens and 1 of 450 in Georgia.
NPI age
16 years
Enumerated 2010-04-05
Primary specialty
Otolaryngology
Plus 2 subspecialties
Licensed in
GA, MA, VA
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-06-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 450 active otolaryngology providers in Georgia.

NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
3 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-04Enumerated in NPPES
2010 2026

Where they practice

Practice location
150 Nacoochee Ave
Athens, GA 306011823
📞 7065467908fax 7065461944
Mailing address
150 Nacoochee Ave
Athens, GA 306011823
📞 7065467908fax 7065461944

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    GA license #75683MA license #262561VA license #0101258556 taxonomy 207Y00000X

Identifiers

TypeValueNotes
05 (GA) 003176590A
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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