MRS. KYMBERLY M TART (PA-C) – Medical Physician Assistant, NPI 1154530756

MRS. KYMBERLY M TART (PA-C) is a healthcare provider. based in Gainesville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 004137 (GA). The NPI Number for MRS. KYMBERLY M TART (PA-C) is 1154530756

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KYMBERLY M TART (PA-C)
NPI
1154530756
Phone
(770) 533-8420
Address
601 S. ENOTA DRIVE
Enumeration Date
21 May 2007
Last Update Date
21 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4066831188
Graduation Year
2003 (23 years ago)
PAC ID
4183707508
Group Practice PAC ID
4082904487
Professional Enrollment ID
I20170323001126
Address ID
MT597253535DI30XXXSXXX500

Contacts

Secure Messaging
KTART750220@WM.PROVIDENCEDIRECT.ORG
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

903 PHYSICIAN ASSISTANT in MT

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Provider Addresses for MRS. KYMBERLY M TART (PA-C)

  • Enota Drive, Sidney on Lanier, Gainesville, Hall County, Georgia, 30503, United States

    SUITE Q

    GAINESVILLE, GA 30501

    Phone: (770) 533-8420

    Fax: (770) 533-8440

    Type: Mailing

  • Veterans Memorial Highway, Dillon, Beaverhead County, Montana, United States

    DILLON, MT 597257379

    Phone: (406) 683-3000

    Type: Location

  • 743 Spring St.

    Gainesville, GA 30501

    Phone: (770) 535-3553

    Fax: (770) 533-8409

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-03-23

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
I20080208000133IPhysician AssistantGATBD
I20170323001126IPhysician AssistantMTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5126$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2423$0
99239Hospital discharge day management, more than 30 minutes1818$0
99238Hospital discharge day management, 30 minutes or less1212$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: 4082904487View full group profile
NameSpecialtyState
Internal MedicineWA
Internal MedicineMT
Emergency MedicineMT
Physical Therapist In Private PracticeMO
Nurse PractitionerVA
Clinical Social WorkerMT
General SurgeryMO
Internal MedicineMT
U R O L O G YMT
Internal MedicineMT

Reviews

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Frequently asked questions

Does MRS. KYMBERLY M TART (PA-C) have a public NPI I can cite?
Public records show MRS. KYMBERLY M TART (PA-C) under NPI 1154530756.
Does the public listing show MRS. KYMBERLY M TART (PA-C) as active?
MRS. KYMBERLY M TART (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does MRS. KYMBERLY M TART (PA-C) provide?
MRS. KYMBERLY M TART (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. KYMBERLY M TART (PA-C) tied to Gainesville, Georgia?
If you are local to Gainesville, Georgia, MRS. KYMBERLY M TART (PA-C) 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.

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