P Praxis·MD
● Active Type 1 · Individual

Richard William Kimmerling, MD

General Practice·Acworth, GA· NPI 1174626543 · Enumerated 2006 · 19 years on NPI
Kimmerling is 1 of 6 general practice providers in Acworth and 1 of 661 in Georgia.
NPI age
19 years
Enumerated 2006-09-07
Primary specialty
General Practice
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 661 active general practice providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
5610 Forkwood Dr Nw
Acworth, GA 301018023
📞 7705908915fax 7702180998
Mailing address
5610 Forkwood Dr Nw
Acworth, GA 301018023
📞 7705908915fax 7702180998

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #11710 taxonomy 208D00000X

Identifiers

TypeValueNotes
01 10047230 AMERIGREEN
05 (GA) 00068054A

Practice context

Solo or small practice. No 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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