KIMBERLY SMITH WITHROW (FNP-C) – Family Nurse Practitioner, NPI 1073175923
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for KIMBERLY SMITH WITHROW (FNP-C)
524 Sparta Rd
Sandersville, GA 310821376
Phone: (478) 412-2880
Fax: (478) 412-2881
Type: Location
1909 N Columbia St
Milledgeville, GA 310612170
Phone: (478) 295-3000
Type: Location
1909, North Columbia Street, Milledgeville, Baldwin County, Georgia, 31061, United States
MILLEDGEVILLE, GA 310612170
Phone: (478) 295-3000
Type: Location
2724, Main Street, Bethany, Harrison County, Missouri, 64424, United States
HARRISON, GA 310356870
Phone: (478) 232-4051
Type: Mailing
1006 HILLCREST PKWY STE 1
DUBLIN, GA 310214259
Phone: (478) 272-8140
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $184.
Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($50).
Total Amount
$184
General + Research + Ownership
Payments
11
Total payment records
General Amount
$184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $50 |
| Lilly USA, LLC | $34 |
| Novo Nordisk Inc | $34 |
| ABBVIE INC. | $28 |
| Lundbeck LLC | $21 |
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: 2022-02-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220221000062 | I | Nurse Practitioner | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Thoracic Surgery, Cardiac Surgery, Vascular Surgery | GA | |
| Emergency Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Hospice/Palliative Care, Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| Physician Assistant | GA | |
| General Surgery | CO |
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