KIMBERLY ANDERSON NP
NPI 1528414943
Nurse Practitioner - Gerontology in Conyers, GA

Q: What is Kimberly Anderson's NPI number?

The NPI number for Kimberly Anderson is 1528414943. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Q: What is Kimberly Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Anderson was last updated on January 13, 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.

Active since May 05, 2016PECOS EnrolledAccepts Medicare Assignment

1412 MILSTEAD AVE NE, CONYERS, GA 30012(404) 605-2800 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Jul 24, 2020, Jan 30, 2020 and 25 more (28 updates tracked since 2017).

On this page

About Kimberly Anderson Np NPPES

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

KIMBERLY ANDERSON NP (NPI 1528414943) is an individual gerontology provider in Conyers, Georgia, licensed in Georgia (RN185233) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Jeff Davis Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1528414943

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKIMBERLY ANDERSONCredential: NP

Location Address1412 MILSTEAD AVE NEConyers, GA 30012-3877

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(404) 605-2800

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 5, 2016

Last NPPES UpdateJanuary 13, 202228 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1528414943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in GA · RN185233

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN185233 (GA), 5009595 (NC), 20151 (SC)

1412 MILSTEAD AVE NE, Conyers, GA 30012

Open in Google Maps ↗

Secondary Practice Locations 5

Location 12001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 512-5363

Location 28800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 512-5363

Location 3700 W Roosevelt BlvdMonroe, NC 28110-3437 · Phone (704) 512-5363

Location 4433 McAlister Rd, FL 1Lincolnton, NC 28092-4147 · Phone (704) 512-5363

Location 5600 Hospital DrMonroe, NC 28112-6000 · Phone (704) 512-5363

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Molina Healthcare, UnitedHealthcare.Insurance ›

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 Anderson Np 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 ID2062701956

PECOS Enrollment IDI20160517000189, I20180108001728

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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

96 services96 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

20 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Jeff Davis Hospital

Critical Access Hospitals · Hazlehurst, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111333

Location163 South Tallahassee StreetHazlehurst, GA 31539 · Jeff Davis County

Emergency services

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420002

Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

64%117 patients3/55-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.

WALKER LAKE PHYSICIAN SERVICES, PC

Hospitalist