Individual provider Active NPI

Kimberly Smith Withrow, FNP-C

  • Family Nurse Practitioner
  • Dublin, GA
National Provider Identifier
1073175923
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP240268 Issued in GA
Practice address
1006 Hillcrest Pkwy Ste 1
Dublin, GA 31021-4259
Phone
(478) 272-8140
NPI assigned
Jul 1, 2019
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP240268 GA Primary

Addresses

Primary practice location

1006 Hillcrest Pkwy Ste 1
Dublin, GA 31021-4259

Mailing address

2724 Main St
Harrison, GA 31035-6870
Phone (478) 232-4051

Other practice location 1

524 Sparta Rd
Sandersville, GA 31082-1376
Phone (478) 412-2880

Other practice location 2

1909 N Columbia St
Milledgeville, GA 31061-2170
Phone (478) 295-3000

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
I20220221000062 GA Practitioner - Nurse Practitioner 2163816042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stacey H Williford LLCGroup PAC ID 5092198580, 7 clinicians

Practice addresses (Care Compare)

119 B Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 237-7676

120 A Victory Dr
Swainsboro, GA 30401-3235
Phone (478) 237-3291

125 A Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 289-3190

601 Ferncrest Dr
Suite 2
Sandersville, GA 31082-1892
Phone (478) 412-2880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP240268GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel County Hospital Authority Current Accepting new patients
Emanuel County Hospital Authority CurrentSince Oct 15, 2021 Accepting new patients
Emanuel County Hospital Authority CurrentSince Oct 15, 2021 Accepting new patients
Stacey H Williford LLC Family CurrentSince Nov 1, 2024 Accepting new patients
Emanuel Prompt Care CurrentSince Jul 5, 2025 Accepting new patients
Emanuel County Hospital Authority Past Accepting new patients
Emanuel County Hospital Authority Past Accepting new patients
Medical Office Force Past Accepting new patients

Locations

1000 Cowles Clinic Way
Ste E-100
Greensboro, GA 30642
Phone (478) 412-2880

524 Sparta Rd
Sandersville, GA 31082
Phone (478) 412-2880

601 Ferncrest Dr
Ste 2
Sandersville, GA 31082
Phone (478) 240-2090

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

131 Victory Dr
#C
Swainsboro, GA 30401

131A Victory Dr
Swainsboro, GA 30401
Phone (478) 237-8342

305 Kite Rd
Swainsboro, GA 30401
Phone (478) 237-2144

5 Medical Office Way
Swainsboro, GA 30401
Phone (478) 237-2238

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFJEDD/Endpoint/JFJEDD
  • Direct secure messaging: kimberly.withrow@emcsim.eclinicaldirectplus.com

Organizations & group practices 8

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 1

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1073175923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 MAIN ST",
            "city": "HARRISON",
            "state": "GA",
            "postal_code": "310356870",
            "telephone_number": "478-232-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 HILLCREST PKWY STE 1",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214259",
            "telephone_number": "478-272-8140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Sparta Rd",
            "address_purpose": "LOCATION",
            "city": "Sandersville",
            "state": "GA",
            "postal_code": "310821376",
            "country_code": "US",
            "telephone_number": "478-412-2880",
            "fax_number": "478-412-2881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 N Columbia St",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310612170",
            "country_code": "US",
            "telephone_number": "478-295-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "KIMBERLY",
        "middle_name": "SMITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP240268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.