KIMBERLY SOLANA MATHURIN MD
NPI 1033812342
Student in an Organized Health Care Education/Training Program in Waycross, GA

Active since March 24, 2023PECOS Enrolled
1900 TEBEAU ST, WAYCROSS, GA 31501(912) 287-4168 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Solana Mathurin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SOLANA MATHURIN MD (NPI 1033812342) is an individual student in an organized health care education/training program in Waycross, Georgia and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033812342
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY SOLANA MATHURINCredential: MD
Location Address1900 TEBEAU STWaycross, GA 31501-6357
Mailing Address1900 Tebeau StWaycross, GA 31501-6357 · (912) 287-4168
Sole ProprietorNo
Enumeration DateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
NPI 1033812342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 TEBEAU ST, Waycross, GA 31501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Solana Mathurin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Unit
1900 TEBEAU ST
WAYCROSS, GA 31501
Internal Medicine
1900 TEBEAU ST
WAYCROSS, GA 31501
Registered Nurse (Emergency)
1900 TEBEAU ST
WAYCROSS, GA 31501
Dietitian, Registered
1900 TEBEAU ST
WAYCROSS, GA 31501
Nurse Practitioner (Acute Care)
1900 TEBEAU ST
WAYCROSS, GA 31501
Nurse Practitioner (Psychiatric/Mental Health)
1900 TEBEAU ST
WAYCROSS, GA 31501
Emergency Medicine
1900 TEBEAU ST
WAYCROSS, GA 31501
Clinic/Center (Multi-Specialty)
1900 TEBEAU ST
WAYCROSS, GA 31501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Mathurin's NPI number?

The NPI number for Kimberly Mathurin is 1033812342. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Kimberly Mathurin located?

Kimberly Mathurin practices at 1900 Tebeau St, Waycross, GA 31501. The listed phone number is (912) 287-4168.

What is Kimberly Mathurin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kimberly Mathurin enrolled in Medicare?

Yes. Kimberly Mathurin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Mathurin was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.