Kimberli H Carpenter, MD
Individual provider Active NPI Anesthesiology Physician · Macon, GA
NPI 1023073046 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1023073046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 054474 (GA)
- Practice address
- 3708 Northside Dr BLDG a
Macon, GA 31210-2404 - Phone
- (478) 254-5415
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Middle Ga Family Practice LLC
Practice addresses (Care Compare)
1085 Plaza Ave
Suite a
Eastman, GA 31023-9102
Phone (478) 220-5444
Hospital & facility affiliations
- Adoration Home Health
- Chsga Home Health
- Dodge County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719000215 | GA | Practitioner - Pain Management |
4981681921 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054474 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Anesthesiology | Current |
Accepting new patients |
| Middle Ga Family Practice LLC | Current |
Accepting new patients | |
| Taylor Regional Hospital | Current |
Accepting new patients | |
| Taylor Regional Hospital | Pain Medicine | Current |
Accepting new patients |
Locations
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303
7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721
1085 Plaza Ave
Ste A
Eastman, GA 31023
Phone (478) 220-5444
1085 Plaza Ave
Eastman, GA 31023
Phone (478) 374-7762
222 Perry Hwy
Bldg B
Hawkinsville, GA 31036
Phone (478) 783-3025
222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950
222 Perry Hwy
Ste 103
Hawkinsville, GA 31036
Phone (478) 783-4080
3708 Northside Dr
Bldg A
Macon, GA 31210
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHBABD/Endpoint/CHBABD
- kimberlicarpenter@trh.allscriptsdirect.net
- https://fhir-usa.unify.chbase.com/org/taylor-ac47b41a
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 054474 | GA | Yes |
| Pain Medicine Physician |
208VP0000X | 54474 | GA |
Addresses
Primary practice location
3708 Northside Dr BLDG a
Macon, GA 31210-2404
Mailing address
127 River Valley TRL
Kathleen, GA 31047-2139
Phone (912) 381-4148
Other practice location 1
1085 Plaza Ave Ste A
Eastman, GA 31023-9102
Phone (478) 220-5444
Other practice location 2
222 Perry Hwy
Hawkinsville, GA 31036-6748
Phone (478) 783-0200
Other providers in Macon, GA
- Caring Companions, Inc.
- Ernest H Carlton
- Dorner Lee Carmichael
- Tonya Wainwright Carodine
- Carol Roobin Bashuk Hearing Aid Centers
- Benjamin Charles Carr
- Wade Allen Carr
- William Thomas Carrigan
- David M Carroll
- Heather Jo Carroll
All providers in Macon, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.