KIMBERLY BROOKE MATHIS WHNP-BC
NPI 1821521477
Nurse Practitioner - Women's Health in Stockbridge, GA

Active since April 10, 2017PECOS Enrolled
140 EAGLE SPRING CT, STOCKBRIDGE, GA 30281(770) 302-0878 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Brooke Mathis Whnp-bc NPPES

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

KIMBERLY BROOKE MATHIS WHNP-BC (NPI 1821521477) is an individual women's health provider in Stockbridge, Georgia, licensed in Georgia (RN197036) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821521477
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKIMBERLY BROOKE MATHISCredential: WHNP-BC
Location Address140 EAGLE SPRING CTStockbridge, GA 30281-6441
Mailing Address140 Eagle Spring CtStockbridge, GA 30281-6441 · (770) 302-0878
Sole ProprietorYes
Enumeration DateApril 10, 2017
NPI 1821521477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in GA · RN197036
140 EAGLE SPRING CT, Stockbridge, GA 30281

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 Brooke Mathis Whnp-bc 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 30281 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
140 EAGLE SPRING CT
STOCKBRIDGE, GA 30281
Advanced Practice Midwife
140 EAGLE SPRING CT, STE B
STOCKBRIDGE, GA 30281
Nurse Practitioner (Women's Health)
140 EAGLE SPRING CT
STOCKBRIDGE, GA 30281
Nurse Practitioner (Family)
140 EAGLE SPRING CT
STOCKBRIDGE, GA 30281

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 Mathis's NPI number?

The NPI number for Kimberly Mathis is 1821521477. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Kimberly Mathis located?

Kimberly Mathis practices at 140 Eagle Spring Ct, Stockbridge, GA 30281. The listed phone number is (770) 302-0878.

What is Kimberly Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kimberly Mathis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Mathis was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.