KIMBERLY EVONNE MILLER-HAMMOND (MD) – Surgery Physician, NPI 1164665428
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,426 GENERAL SURGERY in IL
Provider Addresses for KIMBERLY EVONNE MILLER-HAMMOND (MD)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 628642402
Phone: (770) 617-5556
Type: Location
1175 Cook Rd
Suite 320
Orangeburg, SC 291188201
Phone: (803) 395-3960
Type: Location
1175, Cook Road, Rosewood, Orangeburg County, South Carolina, 29115, United States
SUITE 320
ORANGEBURG, SC 291188201
Phone: (803) 395-3960
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Baxter Healthcare ($57).
Total Amount
$103
General + Research + Ownership
Payments
4
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $57 |
| Medtronic, Inc. | $46 |
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: 2019-01-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141124000286 | I | General Surgery | SC | TBD |
| I20190117003507 | I | General Surgery | GA | TBD |
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.
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 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Infectious Disease, Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | GA | |
| - | GA | |
| Family Practice | MO | |
| Cardiovascular Disease (Cardiology) | GA | |
| H O S P I T A L I S T | GA | |
| G A S T R O E N T E R O L O G Y | GA |
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