KIMBERLY BROWN-CLARK P.A.
NPI 1609029115
Physician Assistant in Athens, GA

Q: What is Kimberly Brown-clark's NPI number?

The NPI number for Kimberly Brown-clark is 1609029115. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Q: What is Kimberly Brown-clark's specialty?

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

Active since October 28, 2008PECOS Enrolled

55 CARLTON ST, ATHENS, GA 30602(706) 542-8621(706) 583-0217 Get Directions Write a Review

NPPES record last updated: October 6, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kimberly Brown-clark P.a. NPPES

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

KIMBERLY BROWN-CLARK P.A. (NPI 1609029115) is an individual physician assistant in Athens, Georgia, licensed in Georgia (002502) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609029115

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY BROWN-CLARKCredential: P.A.

Location Address55 CARLTON STAthens, GA 30602-1526

Mailing Address55 Carlton StAthens, GA 30602-1526 · (706) 542-8621 · Fax (706) 583-0217

Phone(706) 542-8621

Fax(706) 583-0217

Sole ProprietorNo

Enumeration DateOctober 28, 2008

Last NPPES UpdateOctober 6, 2009

✔ NPI 1609029115 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 · 002502

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.

55 CARLTON ST, Athens, GA 30602

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Brown-clark 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Brown-clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Regents Of The University System Of Georgia

Same address

Point of Service

55 CARLTON ST
Athens, GA 30602

Physician assistant employed and billed by this organization, Georgia enrollment
22 clinicians in this Medicare group

NPI 1538311006 (706) 542-8638

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 30602 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

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.

DR. MARGARET HELEN PETERSON PT, DPT, ATC

Physical Therapist