KIMBERLY LYNN BROWN (PA-C) – Physician Assistant, NPI 1023636164

KIMBERLY LYNN BROWN (PA-C) is a healthcare provider. based in Gainesville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KIMBERLY LYNN BROWN (PA-C) is 1023636164

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY LYNN BROWN (PA-C)
NPI
1023636164
Phone
(770) 532-7202
Address
1240 JESSE JEWELL PKWY SE STE 300
Enumeration Date
6 July 2020
Last Update Date
26 January 2022

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4043550743
Graduation Year
2020 (6 years ago)
PAC ID
9638595234
Group Practice PAC ID
4587552963
Professional Enrollment ID
I20200813000747
Address ID
GA303091476AT2001XNEXX409

Contacts

Secure Messaging
kbrown436923@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Other namesUpdated within 12 months

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for KIMBERLY LYNN BROWN (PA-C)

  • 1240 JESSE JEWELL PKWY SE STE 300

    GAINESVILLE, GA 305013861

    Phone: (770) 532-7202

    Type: Location

  • 1240 Jesse Jewell Pkwy SE Ste 300

    Gainesville, GA 305013861

    Phone: (770) 532-7202

    Type: Location

  • 55 WHITCHER ST NE STE 130

    MARIETTA, GA 300601156

    Phone: (770) 428-0462

    Fax: (770) 427-8001

    Type: Location

  • 365 HOLLY CIRCLE

    DAWSONVILLE, GA 30534

    Phone: (770) 605-9495

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $265.

Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Bioventus LLC ($159).

Total Amount

$265

General + Research + Ownership

Payments

8

Total payment records

General Amount

$265

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200813000747IPhysician AssistantGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10879$0
73502X-ray of hip, 2-3 views2823$0
73552X-ray of thigh bone, minimum 2 views2016$0
73610X-ray of ankle, minimum of 3 views1412$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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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: 4587552963View full group profile
NameSpecialtyState
Physician AssistantGA
Orthopedic Surgery, Hand SurgeryGA
Physician AssistantGA
Physician AssistantGA
Physical Therapist In Private PracticeFL
-GA
Orthopedic SurgeryPA
Physical Therapist In Private PracticeGA
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

Where can patients find KIMBERLY LYNN BROWN (PA-C)'s NPI?
You can confirm KIMBERLY LYNN BROWN (PA-C) with NPI 1023636164; it appears in the national provider directory.
Is KIMBERLY LYNN BROWN (PA-C) active in the national directory?
KIMBERLY LYNN BROWN (PA-C)'s public NPI profile is in an active state.
Does KIMBERLY LYNN BROWN (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for KIMBERLY LYNN BROWN (PA-C). Clinical services aligned with this taxonomy classification.
Where is KIMBERLY LYNN BROWN (PA-C)'s primary listing?
We display Gainesville, Georgia because that is what the record indicates for KIMBERLY LYNN BROWN (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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