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KIMBERLY MALLICK FILLMAN P.A.
NPI 1578563235
Physician Assistant - Medical in Bolivia, NC

Active since July 26, 2005PECOS Enrolled
240 HOSPITAL DR NE, BOLIVIA, NC 28422(843) 497-5929 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Mallick Fillman P.a. NPPES

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

KIMBERLY MALLICK FILLMAN P.A. (NPI 1578563235) is an individual medical provider in Bolivia, North Carolina, licensed in North Carolina (101827) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578563235
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMBERLY MALLICK FILLMANCredential: P.A.
Location Address240 HOSPITAL DR NEBolivia, NC 28422-8346
Mailing Address240 Hospital Dr NeBolivia, NC 28422-8346
Phone(843) 497-5929
Sole ProprietorNo
Enumeration DateJuly 26, 2005
Last NPPES UpdateJuly 15, 2020
NPPES CertifiedJuly 15, 2020
✔ NPI 1578563235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 101827
Also ListedPhysician AssistantTaxonomy 363A00000X · License 101827 (NC)
240 HOSPITAL DR NE, Bolivia, NC 28422
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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 Mallick Fillman P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
433 services417 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
250 services242 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services44 patients
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less 12001
This is a procedure to fix a minor wound on your scalp, neck, underarms, trunk, arms, or legs that is 2.5 cm or less. It involves cleaning, and then stitching or gluing the wound to help it heal properly and minimize scarring.
11 services11 patients

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.

KIMBERLY FAYETTE JEAN HENSLEY DO
Hospitalist
240 HOSPITAL DR NE
BOLIVIA, NC 28422
Brunswick County (910) 721-2070
DR. DOUGLAS R. MORGART M.D.
Emergency Medicine
240 HOSPITAL DR NE
BOLIVIA, NC 28422
Brunswick County (843) 497-5929
ANDREW SCOTT JOHNSON PTA
Physical Therapy Assistant
240 HOSPITAL DR NE
BOLIVIA, NC 28422
Brunswick County (910) 721-1000
MICHELLE L SHEPHERD CRNA
Nurse Anesthetist, Certified Registered
240 HOSPITAL DR NE
BOLIVIA, NC 28422
Brunswick County (910) 755-8121
KELSEY ANN KRAMER PA
Physician Assistant
240 HOSPITAL DR NE
BOLIVIA, NC 28422
Brunswick County (910) 921-2070
DR. GREGORY DAVIS MD
Emergency Medicine
240 HOSPITAL DR NE
BOLIVIA, NC 28422
Brunswick County (843) 497-5929
ZACHARY DAVIS MAIER PA-C
Physician Assistant
240 HOSPITAL DR NE
BOLIVIA, NC 28422
Brunswick County (910) 721-1000
RICHARD S. CARLEY M.D.
Emergency Medicine
240 HOSPITAL DR NE
BOLIVIA, NC 28422
Brunswick County (843) 497-5929

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 Fillman's NPI number?

The NPI number for Kimberly Fillman is 1578563235. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Kimberly Fillman located?

Kimberly Fillman practices at 240 Hospital Dr NE, Bolivia, NC 28422. The listed phone number is (843) 497-5929.

What is Kimberly Fillman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kimberly Fillman enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Fillman was last updated on July 15, 2020. 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.