Kimberly Anderson, NP - Medicare Nurse Practitioner in Conyers, GA

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Kimberly Anderson, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Conyers, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence House Calls Llc, Southeastern Hospitalist Services Pc and her current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 605-2800.

Kimberly Anderson is licensed to practice in Georgia (license number RN185233) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528414943.

Contact Information

Kimberly Anderson, NP
1412 Milstead Ave Ne,
Conyers, GA 30012-3877
(404) 605-2800
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Anderson
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Anderson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1528414943
  • Provider Enumeration Date: 05/05/2016
  • Last Update Date: 01/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062701956
  • Enrollment ID: I20160517000189

Medical Identifiers

Medical identifiers for Kimberly Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528414943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN185233 (Georgia)Secondary
363L00000XNurse Practitioner 5009595 (North Carolina)Secondary
363L00000XNurse Practitioner 20151 (South Carolina)Secondary
363LG0600XNurse Practitioner - Gerontology RN185233 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Home HealthPiedmont, SCHome health agency
Piedmont Medical CenterRock hill, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence House Calls Llc175952825019
Southeastern Hospitalist Services Pc3476855420275

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Anderson allows following entities to bill medicare on her behalf.
Entity NameApogee Medical Group South Carolina
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619028545
PECOS PAC ID: 8921193020
Enrollment ID: O20071004000474
Entity NameMcleod Loris Seacoast Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265708119
PECOS PAC ID: 9133394398
Enrollment ID: O20120710000230
Entity NameProvidence House Calls Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689912495
PECOS PAC ID: 1759528250
Enrollment ID: O20130430000366
Entity NameCogent Healthcare Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609827823
PECOS PAC ID: 2961483607
Enrollment ID: O20151015001850
Entity NameSoutheastern Hospitalist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003280108
PECOS PAC ID: 3476855420
Enrollment ID: O20160125000378
Entity NameProvidence Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285253336
PECOS PAC ID: 9638475627
Enrollment ID: O20160328001916
Entity NameProvidence Group Practices Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396192001
PECOS PAC ID: 2668768276
Enrollment ID: O20160908000669
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191209002986
Entity NameSc Hospital Medicine Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326677915
PECOS PAC ID: 8921429440
Enrollment ID: O20200609000214
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20220917000224

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Anderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Anderson, NP
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -		Kimberly Anderson, NP
1412 Milstead Ave Ne,
Conyers, GA 30012-3877

Ph: (404) 605-2800

Reviews and Comments


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Turquoise Allen,
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Nathalie G Bailey, NP-C
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Practice Location: 1280 Dogwood Dr Se, Conyers, GA 30013
Phone: 404-994-4662    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.