KIMBERLY CREW DUNN FNP-BC
NPI 1194466623
Nurse Practitioner - Family in Grovetown, GA
About Kimberly Crew Dunn Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY CREW DUNN FNP-BC (NPI 1194466623) is an individual family provider in Grovetown, Georgia, licensed in Georgia (RN236216) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Crew Dunn Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Dunn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norcross, GA 30093
- Reassigned Medicare billing, Georgia enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Dunn's NPI number?
The NPI number for Kimberly Dunn is 1194466623. It was assigned to this individual provider in the NPPES registry on April 6, 2022. The provider is also known as Kimberly Sheree Crew Rn.
Where is Kimberly Dunn located?
Kimberly Dunn practices at 6236 Freedom Cir, Grovetown, GA 30813. The listed phone number is (706) 401-9115.
What is Kimberly Dunn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Dunn enrolled in Medicare?
Yes. Kimberly Dunn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Dunn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Dunn reassigns Medicare benefits to Pruitthealth Physicians Services, LLC (Norcross, GA). The 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 Dunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Dunn was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kimberly Crew Dunn, FNP-BC · NPI 1194466623
Family physician in Grovetown, Georgia. Individual provider, active in the CMS NPPES registry since April 6, 2022.
## Identity
- **NPI:** 1194466623 (Entity type: Individual)
- **Enumerated:** April 6, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN236216 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6236 FREEDOM CIR, Grovetown, GA 30813-1212
- **Phone:** (706) 401-9115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pruitthealth Physicians Services, LLC (NPI 1043676299, Norcross, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194466623) · Data from the CMS NPPES public registry.