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

Q: 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.

Q: What is Kimberly Fillman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Fillman was last updated on July 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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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 5

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 for life threatening or functioning severity 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.

395 services378 patients

Emergency department visit for problem of high severity 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.

121 services114 patients

Emergency department visit for problem of moderate severity 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

37 services37 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.

28 services28 patients

Emergency department visit for problem of mild to moderate severity 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

11 services11 patients