Individual provider Active NPI

Kimberli H Carpenter, MD

  • Anesthesiology Physician
  • Macon, GA
National Provider Identifier
1023073046
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
054474 Issued in GA
Practice address
3708 Northside Dr BLDG a
Macon, GA 31210-2404
Phone
(478) 254-5415
NPI assigned
Apr 20, 2006
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 054474 GA Primary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719000215 GA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Family Practice 4981681921 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Ga Family Practice LLCGroup PAC ID 4688141377, 2 clinicians

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

LicenseStateTypeSpecialty
054474GAMDAnesthesiology Physician
54474GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC Single Specialty CurrentSince May 2, 2014 Accepting new patients
Middle Ga Family Practice LLC CurrentSince Feb 21, 2026 Accepting new patients
Taylor Regional Hospital Single Specialty CurrentSince Apr 1, 2017 Accepting new patients
Taylor Regional Hospital Pain Medicine CurrentSince Apr 1, 2017 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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/taylor-ac47b41a
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBABD/Endpoint/CHBABD
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.