MRS. KIMBERLY LOTT (PA-C) – Medical Physician Assistant, NPI 1306802236

MRS. KIMBERLY LOTT (PA-C) is a healthcare provider. based in Douglas, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 004095 (GA). The NPI Number for MRS. KIMBERLY LOTT (PA-C) is 1306802236

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY LOTT (PA-C)
NPI
1306802236
Phone
(912) 292-0658
Address
200 Doctors Dr Ste S
Enumeration Date
20 April 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123845832
Graduation Year
2003 (23 years ago)
PAC ID
2567407588
Group Practice PAC ID
5193727964
Professional Enrollment ID
I20050621000651
Address ID
GA315015327WA1508XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MRS. KIMBERLY LOTT (PA-C)

  • 200 Doctors Dr Ste S

    Douglas, GA 315332203

    Phone: (912) 292-0658

    Fax: (912) 292-0670

    Type: Location

  • 100 DOCTORS DR STE G

    DOUGLAS, GA 315332211

    Phone: (912) 384-6186

    Fax: (912) 384-6187

    Type: Location

  • Douglas, 9, Kerepesi út, Kerepesdűlő, 8th district, Budapest, Central Hungary, 1087, Hungary

    DOUGLAS, GA 315341377

    Phone: (912) 384-1477

    Fax: (912) 384-1470

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 146 Open Payments records for all available years, with a total value of $2,567.

Total Amount is formed as General ($2,567) + Research ($0) + Ownership ($0) = $2,567.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($532).

Total Amount

$2,567

General + Research + Ownership

Payments

146

Total payment records

General Amount

$2,567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2005-06-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050621000651IPhysician 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 minutes193128$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit123123$0
J1100Injection, dexamethasone sodium phosphate, 1 mg5213$0
99214Established patient office or other outpatient visit, 30-39 minutes4234$0
96372Injection of drug or substance under skin or into muscle3227$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

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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: 5193727964View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA
U R O L O G YGA
General SurgeryGA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerME
Cardiovascular Disease (Cardiology)GA
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyME

Reviews

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Frequently asked questions

What is the registry number for MRS. KIMBERLY LOTT (PA-C)?
The registry entry for MRS. KIMBERLY LOTT (PA-C) shows NPI 1306802236.
Is MRS. KIMBERLY LOTT (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MRS. KIMBERLY LOTT (PA-C) as active.
What does the directory say MRS. KIMBERLY LOTT (PA-C) does?
Insurance directories may phrase it differently, but here MRS. KIMBERLY LOTT (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. KIMBERLY LOTT (PA-C) tied to Douglas, Georgia?
If you are local to Douglas, Georgia, MRS. KIMBERLY LOTT (PA-C) may be relevant to your search.
Who maintains MRS. KIMBERLY LOTT (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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