KIMBERLY CECIL (PA) – Physician Assistant, NPI 1124791405

KIMBERLY CECIL (PA) is a healthcare provider. based in Waycross, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 10243 (GA). The NPI Number for KIMBERLY CECIL (PA) is 1124791405

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY CECIL (PA)
NPI
1124791405
Phone
Not provided
Address
126 SASSER RD
Enumeration Date
31 July 2021
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125900973
Graduation Year
2004 (22 years ago)
PAC ID
2668876509
Group Practice PAC ID
7911975248
Professional Enrollment ID
I20210813002105
Address ID
GA315203622BR3408XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,463 PHYSICIAN ASSISTANT in GA

Provider Addresses for KIMBERLY CECIL (PA)

  • 126 SASSER RD

    WAYCROSS, GA 315033340

    Phone:

    Type: Mailing

  • 615 PENDLETON ST

    WAYCROSS, GA 315014759

    Phone: (912) 548-0710

    Type: Location

  • 195 E Tollison St Bldg C

    Baxley, GA 315130172

    Phone: (912) 590-0973

    Type: Location

  • 3408 Trout St

    Brunswick, GA 315203622

    Phone: (912) 590-0973

    Fax: (912) 590-0180

    Type: Location

  • 5191 FIRST COAST TECH PKWY FL 3

    JACKSONVILLE, FL 322240609

    Phone: (904) 223-3321

    Fax: (904) 223-2169

    Type: Mailing

  • 1218 ALICE ST

    WAYCROSS, GA 315014525

    Phone: (912) 590-0973

    Fax: (912) 590-0180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 124 Open Payments records for all available years, with a total value of $3,659.

Total Amount is formed as General ($3,659) + Research ($0) + Ownership ($0) = $3,659.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($2,630).

Total Amount

$3,659

General + Research + Ownership

Payments

124

Total payment records

General Amount

$3,659

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2025-06-26

PECOS data refreshed: 2026-06-15

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
I20210813002105IPhysician AssistantGATBD
I20250626004094IPhysician 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 minutes304212$0
99213Established patient office or other outpatient visit, 20-29 minutes117100$0
80307Testing for presence of drug, by chemistry analyzers2921$0
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms2218$0
View full utilization report →

Insurance plans in this area (ZIP 31503)

Loading plans...

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: 7911975248View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerFL
Interventional Pain Management, AnesthesiologyGA
Physician AssistantGA
Physician AssistantGA
Pain Management, Anesthesiology, Interventional Pain ManagementGA
Nurse PractitionerGA
Nurse PractitionerGA
Pain Management, Interventional Pain Management, Physical Medicine And RehabilitationGA
Physician AssistantFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for KIMBERLY CECIL (PA)?
The registry entry for KIMBERLY CECIL (PA) shows NPI 1124791405.
Is KIMBERLY CECIL (PA) currently accepting referrals based on NPI status?
Registry metadata lists KIMBERLY CECIL (PA) as active.
What type of care does KIMBERLY CECIL (PA) provide?
KIMBERLY CECIL (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KIMBERLY CECIL (PA) tied to Waycross, Georgia?
If you are local to Waycross, Georgia, KIMBERLY CECIL (PA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

Two Notch Road, Waverly, Columbia, Richland County, South Carolina, 29223, United States
NPI: 1396736336
410, Darling Avenue, Waycross, Ware County, Georgia, 31501, United States
NPI: 1861477648

DAVID A RIOS (PA)

Physician Assistant
808, Beacon Street, Waycross, Ware County, Georgia, 31501, United States
NPI: 1265406334
1724B Old Reynolds St
NPI: 1689723694
218 QUARTERMAN ST
NPI: 1265655625
1908, Alice Street, Waycross, Ware County, Georgia, 31501, United States
NPI: 1629283023

ASHLEIGH LEWIS JOHNSON (PAC)

Physician Assistant
1720 Old Reynolds St
NPI: 1578750568

LAURA RACHEL BISHOP (PA-C)

Physician Assistant
1507 Alice St
NPI: 1215177522