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KEMBERLY AMANDA STONE PA-C
NPI 1639208333
Physician Assistant in Lake Park, GA

Active since March 06, 2007PECOS Enrolled
453 LAKES BLVD SUITE B, LAKE PARK FAMILY CARE CLINIC, LAKE PARK, GA 31636(229) 588-2866 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2018, Feb 23, 2018 (2 updates tracked since 2018).

About Kemberly Amanda Stone Pa-c NPPES

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

KEMBERLY AMANDA STONE PA-C (NPI 1639208333) is an individual physician assistant in Lake Park, Georgia, licensed in Georgia (05480) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639208333
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEMBERLY AMANDA STONECredential: PA-C
Location Address453 LAKES BLVD SUITE B, LAKE PARK FAMILY CARE CLINICLake Park, GA 31636
Mailing Address453 Lakes Blvd, Suite BLake Park, GA 31636-6607 · (229) 588-2866
Phone(229) 588-2866
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateMarch 2, 20182 updates tracked since enumeration
✔ NPI 1639208333 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 · 05480
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.
453 LAKES BLVD SUITE B, Lake Park, GA 31636
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Other Identifiers 1

Other05480GA · Georgia Medical License Number: 05480 Expiration 01/31/2016

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kemberly Amanda Stone Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31636 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.

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 Kemberly Stone's NPI number?

The NPI number for Kemberly Stone is 1639208333. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Kemberly Stone located?

Kemberly Stone practices at 453 Lakes Blvd Suite B Lake Park Family Care Clinic, Lake Park, GA 31636. The listed phone number is (229) 588-2866.

What is Kemberly Stone's specialty?

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

Is Kemberly Stone enrolled in Medicare?

Yes. Kemberly Stone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kemberly Stone was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.