Doctor profile · Federal record

Dr. HEAVENLY KIMES

Dentist · CONYERS, GA

  • NPI 1114074192
  • 19 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3240 GLENCREE ROAD
CONYERS, GA 300121167
(404) 713-4982
fax (678) 413-2491
Mailing address
3240 GLENCCREE ROAD
CONYERS, GA 300121167

Credentials & registration

NPPES · NUCC
NPI registered
January 2007 — 19 yrs on file
Profile last updated
May 15, 2008
Specialty taxonomy
122300000X — NUCC code
State license (1)
Georgia #DN012304
Medicaid (3)
GA #000898015B · GA #000898015A · GA #000898015C

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1114074192. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$131
Transactions
3
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Straumann USA LLC 3 $131.33

By nature of payment

Food and Beverage
$131