KIMBERLEY RHODES HAM (M.D.) – Family Medicine Physician, NPI 1629162219

KIMBERLEY RHODES HAM (M.D.) is a healthcare provider. based in Kathleen, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 050375 (GA). The NPI Number for KIMBERLEY RHODES HAM (M.D.) is 1629162219

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEY RHODES HAM (M.D.)
NPI
1629162219
Phone
(478) 975-6800
Address
2510 HWY 127
Enumeration Date
3 October 2006
Last Update Date
16 February 2015

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4783527110
Graduation Year
1998 (28 years ago)
PAC ID
7113066945
Group Practice PAC ID
4284797580
Professional Enrollment ID
I20091208000119
Address ID
GA310053886BO520XXSXXX505
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for KIMBERLEY RHODES HAM (M.D.)

  • 2510 HWY 127

    HOUSTON LAKE MEDSTOP

    KATHLEEN, GA 31047

    Phone: (478) 975-6800

    Fax: (478) 975-6814

    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)

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: 2009-12-08

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
I20091208000119IFamily PracticeGATBD

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 minutes1,1911,032$0
99214Established patient office or other outpatient visit, 30-39 minutes7979$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5149$0
69210Removal of impacted ear wax1414$0
View full utilization report →

Insurance plans in this area (ZIP 31047)

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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: 4284797580View full group profile
NameSpecialtyState
Family PracticeGA
Interventional Cardiology, Internal MedicineGA
Family PracticeGA
Pediatric MedicineGA
Family PracticeFL
Emergency MedicineGA
Internal MedicineGA
Family PracticeGA
Internal Medicine, Pediatric MedicineGA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineGA

Reviews

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Frequently asked questions

How is KIMBERLEY RHODES HAM (M.D.) identified in CMS data?
CMS-hosted NPPES data lists KIMBERLEY RHODES HAM (M.D.) with NPI 1629162219.
Is KIMBERLEY RHODES HAM (M.D.) listed as active for patients and plans?
The listing shows KIMBERLEY RHODES HAM (M.D.) as active in the NPI system.
What is KIMBERLEY RHODES HAM (M.D.)'s specialty?
The listing groups KIMBERLEY RHODES HAM (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KIMBERLEY RHODES HAM (M.D.)?
KIMBERLEY RHODES HAM (M.D.)'s geographic hint is Kathleen, Georgia in our summary view.
Is the information about KIMBERLEY RHODES HAM (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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