Kimberly Sack Thomas, RN
Individual provider Active NPI Registered Nurse · Clarks Hill, SC
NPI 1013881671 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1013881671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN173908 (GA)
- Practice address
- 2120 Martintown Rd
Clarks Hill, SC 29821-2048 - Phone
- (478) 357-7855
- NPI assigned
- Oct 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN173908 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN173908 | GA | Yes |
Addresses
Primary practice location
2120 Martintown Rd
Clarks Hill, SC 29821-2048
Mailing address
2120 Martintown Rd
Clarks Hill, SC 29821-2048
Phone (478) 357-7855
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.