DR. KIMBERLY CROSS M.D.
NPI 1093009383
Obstetrics & Gynecology in Newnan, GA

Q: What is Kimberly Cross's NPI number?

The NPI number for Kimberly Cross is 1093009383. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Q: What is Kimberly Cross's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Cross was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 03, 2011PECOS EnrolledAccepts Medicare Assignment

775 POPLAR RD, SUITE 210, NEWNAN, GA 30265(770) 991-2200 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Kimberly Cross M.d. NPPES

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

DR. KIMBERLY CROSS M.D. (NPI 1093009383) is an individual obstetrics & gynecology provider in Newnan, Georgia, licensed in Georgia (075773) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Georgetown University School Of Medicine (2011).

NPPES Registry Identity

NPI1093009383

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. KIMBERLY CROSSCredential: M.D.

Location Address775 POPLAR RD, SUITE 210Newnan, GA 30265-8300

Mailing Address775 Poplar Rd, Suite 210Newnan, GA 30265-8300 · (770) 991-2200

Phone(770) 991-2200

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2011

Enumeration DateJune 3, 2011

Last NPPES UpdateApril 29, 2016

✔ NPI 1093009383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in GA · 075773

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

775 POPLAR RD, Newnan, GA 30265

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly Cross M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880984210

PECOS Enrollment IDI20160526000610

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.

Medicare Billing Reassignments

Medicare enrollment records show Kimberly Cross reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Crescent Women's Healthcare PC

16 mi

Obstetrics & Gynecology

1279 HIGHWAY 54 W, SUITE 220
Fayetteville, GA 30214

Reassigned Medicare billing, Georgia enrollment
17 clinicians in this Medicare group

NPI 1427061589 (770) 991-2200

Dhp Of Piedmont PC

16 mi

Obstetrics & Gynecology

1255 HIGHWAY 54 W
Fayetteville, GA 30214

Reassigned Medicare billing, Georgia enrollment
67 clinicians in this Medicare group

NPI 1316202609 (770) 719-7000

The Southeast Permanente Medical Group

41 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

Obhg Georgia, P.C.

89 mi

Obstetrics & Gynecology

1199 PRINCE AVE
Athens, GA 30606

Reassigned Medicare billing, Georgia enrollment
208 clinicians in this Medicare group

NPI 1750686838 (800) 967-2289

Southern Ob Gyn Associates P C

192 mi

Obstetrics & Gynecology

220 NORTHSIDE DR
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
65 clinicians in this Medicare group

NPI 1801951454 (229) 241-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

150 services75 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

148 services74 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

99 services82 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

63 services52 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

52 services52 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

50 services50 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

22 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services22 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

19 services13 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

18 services18 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

16 services13 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

15 services15 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

12 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sgmc Health

Acute Care Hospitals · Valdosta, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110122

Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%20 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. GEORGE EDGAR ANDERSON M.D.

Obstetrics & Gynecology

775 POPLAR RD, SUITE 120
NEWNAN, GA 30265

Coweta County (770) 400-4510

MR. JIGNESH C PATEL RPH

Pharmacist

775 POPLAR RD, SUITE #100
NEWNAN, GA 30265

Coweta County (770) 683-3784

MAYUR CHANDRAKANT PATEL MD

Internal Medicine (Pulmonary Disease)

775 POPLAR RD, SUITE 130
NEWNAN, GA 30265

Coweta County (770) 683-6921

BOB B. MANN M.D.

Urology

775 POPLAR RD, SUITE 160
NEWNAN, GA 30265

Coweta County (770) 470-0463

KEVIN WESLEY DAVIS MD

Surgery

775 POPLAR RD, SUITE 250
NEWNAN, GA 30265

Coweta County (770) 400-4610

DR. TIA GUSTER M.D.

Obstetrics & Gynecology

775 POPLAR RD, SUITE 120
NEWNAN, GA 30265

Coweta County (770) 400-4510

VIJAY M. PATEL M.D.

Internal Medicine (Pulmonary Disease)

775 POPLAR RD, SUITE 130
NEWNAN, GA 30265

Coweta County (770) 683-6921

FREEMAN PHARMACY, LLC

Pharmacy

775 POPLAR RD, SUITE 100
NEWNAN, GA 30265

Coweta County (770) 683-9903

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 Cross's NPI number?

The NPI number for Kimberly Cross is 1093009383. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Kimberly Cross located?

Kimberly Cross practices at 775 Poplar Rd Suite 210, Newnan, GA 30265. The listed phone number is (770) 991-2200.

What is Kimberly Cross's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kimberly Cross enrolled in Medicare?

Yes. Kimberly Cross is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Cross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Cross reassigns Medicare benefits to 5 organizations: Southern Crescent Women's Healthcare PC (Fayetteville, GA), Dhp Of Piedmont PC (Fayetteville, GA), The Southeast Permanente Medical Group (Atlanta, GA), Obhg Georgia, P.C. (Athens, GA) and Southern Ob Gyn Associates P C (Valdosta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Cross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Cross accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kimberly Cross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Cross affiliated with any hospitals?

According to CMS data, Kimberly Cross is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Kimberly Cross was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.