THE KIMANI CLINIC P.C. NPI 1396890844

NPI Information

  • NPI: 1396890844
  • Provider Name: THE KIMANI CLINIC, P.C.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Former Legal Business Name: PEACHTREE PINE MEDICAL CARE, P.C.
  • CLIA Number: 11D2148493
  • Address: 450 14TH ST NW
    ATLANTA, GA
    ZIP 30318
  • Phone: (404) 685-8485

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NPI Details

THE KIMANI CLINIC, P.C. is an internal medicine in Atlanta, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. THE KIMANI CLINIC, P.C. NPI is 1396890844. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Peachtree Pine Medical Care, P.c..

The provider's business location address is:

450 14TH ST NW
ATLANTA, GA
ZIP 30318-963
Phone: (404) 685-8485
Fax: (404) 685-8414

The provider's authorized official is Grace Alexandra Kimani .
The authorized official title is Ceo and has the following contact phone number (404) 685-8485.

The CLIA number assigned to this NPI record is 11D2148493 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 5/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP3307MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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