KIMBERLY THOMPSON PMHNP-BC, FNP-C
NPI 1336685544
Nurse Practitioner - Psychiatric/Mental Health in Clermont, GA
About Kimberly Thompson Pmhnp-bc, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY THOMPSON PMHNP-BC, FNP-C (NPI 1336685544) is an individual psychiatric/mental health provider in Clermont, Georgia, licensed in Georgia (RN219413) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
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
Kimberly Thompson Pmhnp-bc, Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 759 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 30527 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 Thompson's NPI number?
The NPI number for Kimberly Thompson is 1336685544. It was assigned to this individual provider in the NPPES registry on January 11, 2017.
Where is Kimberly Thompson located?
Kimberly Thompson practices at 6648 Windvane Point, Clermont, GA 30527. The listed phone number is (919) 801-2237.
What is Kimberly Thompson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kimberly Thompson enrolled in Medicare?
Yes. Kimberly Thompson 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 organization bills Medicare for Kimberly Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Thompson reassigns Medicare benefits to Privia Medical Group Of Georgia LLC (Fayetteville, 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 Thompson'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 Thompson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 Thompson, PMHNP-BC, FNP-C · NPI 1336685544
Psychiatric/Mental Health physician in Clermont, Georgia. Individual provider, active in the CMS NPPES registry since January 11, 2017.
## Identity
- **NPI:** 1336685544 (Entity type: Individual)
- **Enumerated:** January 11, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN219413 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6648 WINDVANE POINT, Clermont, GA 30527
- **Phone:** (919) 801-2237
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Privia Medical Group Of Georgia LLC (NPI 1013313857, Fayetteville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336685544) · Data from the CMS NPPES public registry.