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KIMBERLY MICHELLE DIPRIMA PA-C
NPI 1366854077
Physician Assistant in Fayetteville, GA

Active since May 29, 2014PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1265 HIGHWAY 54 W, SUITE 102, FAYETTEVILLE, GA 30214(770) 460-1900(770) 719-1214 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Michelle Diprima Pa-c NPPES

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

KIMBERLY MICHELLE DIPRIMA PA-C (NPI 1366854077) is an individual physician assistant in Fayetteville, Georgia, licensed in Georgia (007226) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Mercer University School Of Medicine (2014).

NPPES Registry Identity

NPI1366854077
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY MICHELLE DIPRIMACredential: PA-C
Location Address1265 HIGHWAY 54 W, SUITE 102Fayetteville, GA 30214-4548
Mailing Address900 Circle 75 Pkwy Se, Suite 1700Atlanta, GA 30339-3035 · (770) 953-6929 · Fax (770) 953-6972
Phone(770) 460-1900
Fax(770) 719-1214
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2014
Enumeration DateMay 29, 2014
Last NPPES UpdateJune 9, 2016
✔ NPI 1366854077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 007226
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1265 HIGHWAY 54 W, Fayetteville, GA 30214
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Michelle Kennedy

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Michelle Diprima Pa-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.

PECOS PAC ID9638396534
PECOS Enrollment IDI20140818001549
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.

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%87 patients1/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%181 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%61 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
47%165 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
6%139 patients1/55-star benchmark: 90%
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…
21%157 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%165 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%165 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%165 patients
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.

MR. RYAN CHRISTOPHER YOLITZ PT
Physical Therapist
1265 HIGHWAY 54 W, SUITE 103 AND 308
FAYETTEVILLE, GA 30214
Fayette County (770) 460-1900
A CUT ABOVE SURGICAL ASSISTING, LLC
Specialist/Technologist, Other (Surgical Assistant)
1265 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (404) 862-0746
DR. JOHN E BURNEY M.D.
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6550
DR. BRYAN L WOODS M.D.
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Fayette County (770) 719-3240
DR. JARRYD A JACKSON PHARMD
Pharmacist
1265 HIGHWAY 54 W, SUITE #201
FAYETTEVILLE, GA 30214
Fayette County (678) 435-3046
DAVID MICHEL PA
Physician Assistant (Medical)
1265 HIGHWAY 54 W, SUITE 102
FAYETTEVILLE, GA 30214
Fayette County (770) 460-1900
OLUMUYIWA JOSHUA MD
Internal Medicine (Critical Care Medicine)
1265 HIGHWAY 54 W, SUITE 500-D
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5625
CAROL D MARTIN NP
Nurse Practitioner
1265 HIGHWAY 54 W, SUITE 409
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6505

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 Diprima's NPI number?

The NPI number for Kimberly Diprima is 1366854077. It was assigned to this individual provider in the NPPES registry on May 29, 2014. The provider is also known as Kimberly Michelle Kennedy.

Where is Kimberly Diprima located?

Kimberly Diprima practices at 1265 Highway 54 W Suite 102, Fayetteville, GA 30214. The listed phone number is (770) 460-1900.

What is Kimberly Diprima's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Diprima enrolled in Medicare?

Yes. Kimberly Diprima 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.

Is Kimberly Diprima affiliated with any hospitals?

According to CMS data, Kimberly Diprima is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Diprima was last updated on June 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.