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

Mrs. Kimberly Michel Davis, AGACNP

Individual provider School Nurse Practitioner · NPI 1063052470

Mrs. Kimberly Michel Davis, AGACNP is a Nurse Practitioner in Braselton, Georgia. Qualified in 2024, 2 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1400 River Pl
Braselton, GA 30517-5600
Phone: (770) 848-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Wagon Hill Ln, Sugar Hill, GA 30518-8034 — (470) 214-9756

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN256254 (GA)
School Nurse Practitioner Taxonomy 363LS0200X · Licence RN256254 (GA)

Record details

NPI number1063052470
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedJanuary 14, 2020
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount