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KIMBERLY TERESA FOUNTAIN MD,MS
NPI 1740419688
Internal Medicine in Augusta, GA

Active since July 14, 2009PECOS Enrolled
GRU, 1120 15TH STREET, AUGUSTA, GA 30912(706) 834-0190 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Teresa Fountain Md,ms NPPES

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

KIMBERLY TERESA FOUNTAIN MD,MS (NPI 1740419688) is an individual internal medicine provider in Augusta, Georgia, licensed in Tennessee (207R0000X) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740419688
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKIMBERLY TERESA FOUNTAINCredential: MD,MS
Location AddressGRU, 1120 15TH STREETAugusta, GA 30912-0001
Mailing Address450 Railroad Ave, Ste 1-dNorth Augusta, SC 29841-3782 · (801) 671-0933
Phone(706) 834-0190
Sole ProprietorNo
Enumeration DateJuly 14, 2009
Last NPPES UpdateJuly 7, 2015
✔ NPI 1740419688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 207R0000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
GRU, Augusta, GA 30912
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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 Teresa Fountain Md,ms 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 30912 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Fountain's NPI number?

The NPI number for Kimberly Fountain is 1740419688. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Where is Kimberly Fountain located?

Kimberly Fountain practices at Gru 1120 15th Street, Augusta, GA 30912. The listed phone number is (706) 834-0190.

What is Kimberly Fountain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kimberly Fountain enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Fountain was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.