KYMBERLY D ANDERSON (NP) – Family Nurse Practitioner, NPI 1093180481

KYMBERLY D ANDERSON (NP) is a healthcare provider. based in Alma, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN149756 (GA). The NPI Number for KYMBERLY D ANDERSON (NP) is 1093180481

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KYMBERLY D ANDERSON (NP)
NPI
1093180481
Phone
(912) 632-2952
Address
204 E 15TH ST
Enumeration Date
10 December 2015
Last Update Date
13 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655310176
Graduation Year
2015 (11 years ago)
PAC ID
9830490770
Group Practice PAC ID
5193852150
Professional Enrollment ID
I20151217001097
Address ID
GA714464724LE615XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KYMBERLY D ANDERSON (NP)

  • 204 E 15TH ST

    ALMA, GA 315102908

    Phone: (912) 632-2952

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,068.

Total Amount is formed as General ($1,068) + Research ($0) + Ownership ($0) = $1,068.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($539).

Total Amount

$1,068

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,068

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2015-12-17

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
I20151217001097INurse PractitionerGATBD

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 minutes275113$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13224$0
99213Established patient office or other outpatient visit, 20-29 minutes6544$0
J1885Injection, ketorolac tromethamine, per 15 mg6518$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 31510)

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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: 5193852150View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Rheumatology, Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is KYMBERLY D ANDERSON (NP) listed with a National Provider Identifier?
Yes — KYMBERLY D ANDERSON (NP) has NPI 1093180481 on file in the registry.
Is there an active status for KYMBERLY D ANDERSON (NP)?
For scheduling context, KYMBERLY D ANDERSON (NP) is shown as active in the registry.
What clinical focus is listed for KYMBERLY D ANDERSON (NP)?
At a glance, KYMBERLY D ANDERSON (NP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KYMBERLY D ANDERSON (NP) located near Alma?
KYMBERLY D ANDERSON (NP) currently maps to Alma, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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