NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Heavenly Kimes

Dentist in Conyers, GA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114074192

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Registry record

Entity type Individual (Type 1)
Name Dr. Heavenly Kimes
Sex Female
Practice address Conyers, GA, 30012
Fax (678) 413-2491
Enumeration date Jan 4, 2007
Last updated in NPPES May 15, 2008

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

122300000X Dentist Dental Providers · License DN012304 (GA) Primary

Other identifiers

Identifier Type State Issuer
000898015B Medicaid GA -
000898015A Medicaid GA -
000898015C Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Heavenly Kimes?
The National Provider Identifier (NPI) for Heavenly Kimes is 1114074192, a Type 1 (individual) record in the CMS NPPES registry.
Where does Heavenly Kimes practice?
The practice location on file with NPPES is in Conyers, GA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-15.