P Praxis·MD
● Active Type 1 · Individual

Kimberley P Shanks, M.D

Allergy & Immunology·Gainesville, GA· NPI 1508887621 · Enumerated 2006 · 19 years on NPI
Shanks is 1 of 9 allergy & immunology providers in Gainesville and 1 of 151 in Georgia.
NPI age
19 years
Enumerated 2006-07-22
Primary specialty
Allergy & Immunology
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 151 active allergy & immunology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
2
In the 37% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
2510 Limestone Pkwy
Gainesville, GA 305012089
📞 7705349933fax 7705948999
Mailing address
Po Box 742616
Atlanta, GA 303742616
📞 7702198420

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1515 River Pl Ste 380
Braselton, GA 305175605
📞 7708489345fax 7708489346

Specialties

  • Allergy & Immunology Primary
    An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
    GA license #057840 taxonomy 207K00000X
  • Allergy & Immunology
    A physician who specializes in the diagnosis, treatment, and management of allergies.
    GA license #057840 taxonomy 207KA0200X
  • Pediatrics
    A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
    GA license #057840 taxonomy 2080P0201X

Identifiers

TypeValueNotes
01 (GA) 58I030003 MEDICARE
05 (GA) 242084536C

Practice context

Part of a multi-provider practice. 6 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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