MRS. KIMBERLY MICHELLE POWELL (PA-C) – Physician Assistant, NPI 1700011178

MRS. KIMBERLY MICHELLE POWELL (PA-C) is a healthcare provider. based in Tallahassee, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 005568 (GA). The NPI Number for MRS. KIMBERLY MICHELLE POWELL (PA-C) is 1700011178

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY MICHELLE POWELL (PA-C)
NPI
1700011178
Phone
(850) 644-1543
Address
2911 ROBERTS AVE
Enumeration Date
28 May 2009
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8506441543
Graduation Year
2009 (17 years ago)
PAC ID
8123172053
Group Practice PAC ID
3971608993
Professional Enrollment ID
I20240424000071
Address ID
FL323085740TA4449XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MRS. KIMBERLY MICHELLE POWELL (PA-C)

  • 2911 ROBERTS AVE

    TALLAHASSEE, FL 323105007

    Phone: (850) 644-1543

    Type: Mailing

  • 951 S Broad St

    Thomasville, GA 317926161

    Phone: (229) 403-0830

    Fax: (229) 403-0830

    Type: Location

  • 951, South Broad Street, Fletcherville, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317926161

    Phone: (229) 403-0830

    Fax: (229) 403-0830

    Type: Location

  • 117, Tall Pines Drive, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317928848

    Phone: (229) 403-0830

    Fax: (229) 403-0830

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: ABBVIE INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090812000260IPhysician AssistantGATBD
I20240424000071IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes293107$0
99213Established patient office or other outpatient visit, 20-29 minutes16294$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 32310)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971608993View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
Nurse PractitionerFL
Family Practice, Geriatric MedicineGA
Family PracticeFL
-FL
Nurse PractitionerFL
Family PracticeFL
-FL
Internal Medicine, Geriatric MedicineFL
Family PracticeFL

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KIMBERLY MICHELLE POWELL (PA-C)?
NPI 1700011178 is assigned to MRS. KIMBERLY MICHELLE POWELL (PA-C) under the national enumeration system.
Does this profile mean MRS. KIMBERLY MICHELLE POWELL (PA-C) is currently active?
Yes — MRS. KIMBERLY MICHELLE POWELL (PA-C) appears active in the national provider directory.
What does MRS. KIMBERLY MICHELLE POWELL (PA-C) treat or focus on?
Patients typically see MRS. KIMBERLY MICHELLE POWELL (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KIMBERLY MICHELLE POWELL (PA-C)?
The page summarizes Tallahassee, Florida for MRS. KIMBERLY MICHELLE POWELL (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.