Individual provider Active NPI

Kimberly Lynn Brown, PA-C

  • Physician Assistant
  • Marietta, GA
National Provider Identifier
1023636164
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9821 Issued in GA
Practice address
55 Whitcher St NE Ste 130
Marietta, GA 30060-1156
Phone
(770) 428-0462
Fax
(770) 427-8001
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9821 GA Primary

Addresses

Primary practice location

55 Whitcher St NE Ste 130
Marietta, GA 30060-1156

Mailing address

2860 Ronald Reagan Blvd Ste 300
Cumming, GA 30041-6290
Phone (404) 355-0743

Other practice location 1

1240 Jesse Jewell Pkwy SE Ste 300
Gainesville, GA 30501-3861
Phone (770) 532-7202

Other practice location 2

2860 Ronald Reagan Blvd Ste 300
Cumming, GA 30041-6290
Phone (404) 355-0743

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbrown436923@directwellstar.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813000747 GA Practitioner - Physician Assistant 9638595234 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Orthopaedic Clinic PAGroup PAC ID 4587552963, 138 clinicians

Practice addresses (Care Compare)

11800 Amberpark Dr
BLDG 1
Alpharetta, GA 30009-2274
Phone (404) 355-0743

2001 Peachtree Rd NE
Suite 705
Atlanta, GA 30309-1476
Phone (404) 355-0743

5505 Peachtree Dunwoody Rd
Suite 600
Atlanta, GA 30342-1717
Phone (404) 425-1577

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Nov 15, 2021 Accepting new patients
Peachtree Orthopaedic Clinic, P.a. CurrentSince Feb 29, 2024 Accepting new patients
Orthoatlanta, LLC Physician Assistant CurrentSince Aug 15, 2022 Accepting new patients
Peachtree Orthopaedic Clinic CurrentSince Feb 29, 2024 Accepting new patients
Orthoatlanta, LLC CurrentSince Aug 15, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 15, 2021 Accepting new patients
Peachtree Orthopaedic Clinic PA Past Accepting new patients

Locations

2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309

2860 Ronald Reagan Blvd
Ste 300
Cumming, GA 30041
Phone (404) 355-0742

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

55 Whitcher St NE
Ste 130
Marietta, GA 30060
Phone (770) 426-1629

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

Interoperability endpoints

  • Direct secure messaging: kimberly.brown.1@8474.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1023636164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 RONALD REAGAN BLVD STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416290",
            "telephone_number": "404-355-0743",
            "fax_number": "855-283-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601156",
            "telephone_number": "770-428-0462",
            "fax_number": "770-427-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Jesse Jewell Pkwy SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013861",
            "country_code": "US",
            "telephone_number": "770-532-7202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2860 Ronald Reagan Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416290",
            "country_code": "US",
            "telephone_number": "404-355-0743",
            "fax_number": "855-283-8851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrown436923@directwellstar.org",
            "affiliation": "N",
            "address_1": "55 Whitcher St NE Ste 130",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.