Active NPI
Kimberli H Carpenter, MD
- Anesthesiology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 054474
- Practice address
- 3708 Northside Dr BLDG a
Macon, GA 31210-2404 - Phone
- (478) 254-5415
- NPI assigned
- Apr 20, 2006
- Last updated
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 054474 | GA | Primary |
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1085 Plaza Ave
Suite a
Eastman, GA 31023-9102
Phone (478) 220-5444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054474 | GA | MD | Anesthesiology Physician |
| 54474 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Single Specialty | Current | Accepting new patients |
| Middle Ga Family Practice LLC | Current | Accepting new patients | |
| Taylor Regional Hospital | Single Specialty | 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
Eastman, GA 31023
Phone (478) 559-1386
1085 Plaza Ave
Ste A
Eastman, GA 31023
Phone (478) 220-5444
222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950
222 Perry Hwy
Bldg B
Hawkinsville, GA 31036
Phone (478) 783-3025
222 Perry Hwy
Ste 103
Hawkinsville, GA 31036
Phone (478) 783-4080
3708 Northside Dr
Bldg A
Macon, GA 31210
Phone (478) 254-5415
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/taylor-ac47b41a
- https://fhir4.healow.com/fhir/r4/CHBABD/Endpoint/CHBABD
- kimberlicarpenter@trh.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Eastman, GA
- NPI 1669325643
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
Single Specialty
-
dba Taylor Physicians Practice # 6
- Pain Medicine Physician
- Hawkinsville, GA
- NPI 1720339039
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vidalia, GA
- NPI 1851461735
-
dba Dodge County Hospital
- Rural Acute Care Hospital
- Eastman, GA
- NPI 1740272095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1023073046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 RIVER VALLEY TRL",
"city": "KATHLEEN",
"state": "GA",
"postal_code": "310472139",
"telephone_number": "912-381-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 NORTHSIDE DR BLDG A",
"city": "MACON",
"state": "GA",
"postal_code": "312102404",
"telephone_number": "478-254-5415"
}
],
"practiceLocations": [
{
"address_1": "1085 Plaza Ave Ste A",
"address_purpose": "LOCATION",
"city": "Eastman",
"state": "GA",
"postal_code": "310239102",
"country_code": "US",
"telephone_number": "478-220-5444",
"fax_number": "478-559-1073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 Perry Hwy",
"address_purpose": "LOCATION",
"city": "Hawkinsville",
"state": "GA",
"postal_code": "310366748",
"country_code": "US",
"telephone_number": "478-783-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "KIMBERLI",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "054474",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "54474",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
- Caring Companions, Inc. (Modani Care)
- Ernest H Carlton, M.D.
- Dorner Lee Carmichael, PA-C
- Tonya Wainwright Carodine, NP
- Carol Roobin Bashuk Hearing Aid Centers (Carol Roobin Bashuk Beltone)
- Benjamin Charles Carr, MD
- Wade Allen Carr, FNP-C
- William Thomas Carrigan, M.D.
- David M Carroll, M.D.
- Heather Jo Carroll
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.