KIMBERLY MONIQUE FRYER MSN, AGNP-C
NPI 1164066031
Nurse Practitioner - Adult Health in Temple, GA

Active since November 04, 2019PECOS Enrolled
253 E HIGHWAY 78, TEMPLE, GA 30179(770) 526-4501 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kimberly Monique Fryer Msn, Agnp-c NPPES

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

KIMBERLY MONIQUE FRYER MSN, AGNP-C (NPI 1164066031) is an individual adult health provider in Temple, Georgia, licensed in Georgia (RN174123) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164066031
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY MONIQUE FRYERCredential: MSN, AGNP-C
Location Address253 E HIGHWAY 78Temple, GA 30179-4348
Mailing AddressPo Box 1367Temple, GA 30179-1367 · (770) 562-4501
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 4, 2019
NPI 1164066031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · RN174123
253 E HIGHWAY 78, Temple, GA 30179

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 Monique Fryer Msn, Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901307644
PECOS Enrollment IDI20250903000313
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30179 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fryer's NPI number?

The NPI number for Kimberly Fryer is 1164066031. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Kimberly Fryer located?

Kimberly Fryer practices at 253 E Highway 78, Temple, GA 30179. The listed phone number is (770) 526-4501.

What is Kimberly Fryer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Fryer enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Fryer was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.