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NPISignal

Individual Healthcare Provider

Kimberly A Serravezza, MD

NPI Record: ActivePsychiatry & Neurology — Sports Medicine
NPI1235130626
Atlanta, Georgia

Provider's NPPES record last updated: February 24, 2009

Overview

Entity Type
Individual Healthcare Provider
NPI
1235130626
Primary Specialty
Psychiatry & Neurology — Sports Medicine
Practice Location
Atlanta, Georgia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:58 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.

    Taxonomy code 2084S0010X

Provider-Reported License Information

Psychiatry & Neurology (Georgia)
052048
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4 Executive Park East Ne

Suite 470

Atlanta, Georgia 30329-2245

Phone: (404) 327-9682

Record Information

Enumeration Date
August 9, 2005
Provider's NPPES Record Last Updated
February 24, 2009
NPISignal NPPES Dataset
August 2026

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