Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Schiavoni, NP

Individual provider Nurse Practitioner · NPI 1114308475

Kimberly Schiavoni, NP is a Nurse Practitioner in Snellville, Georgia. Qualified in 2015, 11 years ago. Practices with Rg Wagner MD LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2160 Fountain Dr Ste D
Snellville, GA 30078-7022
Phone: (770) 982-7790
Fax: (770) 982-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN211370 (GA)

Record details

NPI number1114308475
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJune 12, 2015
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Rg Wagner Md Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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