Active NPI
Kimberly Lynn Brown, PA-C
- Physician Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9821
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 94
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Peachtree Orthopaedic Clinic, P.a. | Current | Accepting new patients | |
| Orthoatlanta, LLC | Physician Assistant | Current | Accepting new patients |
| Peachtree Orthopaedic Clinic | Current | Accepting new patients | |
| Orthoatlanta, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1811912611
-
- Orthopaedic Surgery Physician
- Newnan, GA
- NPI 1851937114
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1114317062
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Orthopaedic Surgery Physician
- Peachtree City, GA
- NPI 1508302472
Physician Assistant
-
- Orthopaedic Surgery Physician
- Evans, GA
- NPI 1679251920
-
- Durable Medical Equipment & Medical Supplies
- Alpharetta, GA
- NPI 1588802474
-
dba Peachtree Orthopaedic Physical Therapy
- Physical Therapist
- College Park, GA
- NPI 1497781942
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar General Surgery (Canton Road)
- Surgery Physician
- Marietta, GA
- NPI 1992131478
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.