KIMBERLY THOMPSON (PMHNP-BC, FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336685544

KIMBERLY THOMPSON (PMHNP-BC, FNP-C) is a healthcare provider. based in Sautee nacoochee, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, FNP-C. They hold a License No. RN219413 (GA). The NPI Number for KIMBERLY THOMPSON (PMHNP-BC, FNP-C) is 1336685544

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY THOMPSON (PMHNP-BC, FNP-C)
NPI
1336685544
Phone
(470) 539-6905
Address
310 BLACK BEAR RDG
Enumeration Date
11 January 2017
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783844911
Graduation Year
2015 (11 years ago)
PAC ID
6709142094
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20171101002545
Address ID
GA300053707AL3400XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for KIMBERLY THOMPSON (PMHNP-BC, FNP-C)

  • 310 BLACK BEAR RDG

    SAUTEE NACOOCHEE, GA 305713500

    Phone: (470) 539-6905

    Type: Mailing

  • 6648 WINDVANE POINT

    CLERMONT, GA 30527

    Phone: (919) 801-2237

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,415.

Total Amount is formed as General ($1,415) + Research ($0) + Ownership ($0) = $1,415.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($314).

Total Amount

$1,415

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,415

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2017-11-01

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
I20171101002545INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30571)

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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: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

How is KIMBERLY THOMPSON (PMHNP-BC, FNP-C) identified in CMS data?
CMS-hosted NPPES data lists KIMBERLY THOMPSON (PMHNP-BC, FNP-C) with NPI 1336685544.
Does CMS list KIMBERLY THOMPSON (PMHNP-BC, FNP-C) as active?
Yes — KIMBERLY THOMPSON (PMHNP-BC, FNP-C) is active in the NPI listing used on this page.
What is KIMBERLY THOMPSON (PMHNP-BC, FNP-C)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for KIMBERLY THOMPSON (PMHNP-BC, FNP-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY THOMPSON (PMHNP-BC, FNP-C) on a map?
Expect Sautee Nacoochee, Georgia as a primary anchor for KIMBERLY THOMPSON (PMHNP-BC, FNP-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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