Active NPI
Kimberly Smith Withrow, FNP-C
- Family Nurse Practitioner
- Dublin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP240268
- Practice address
- 1006 Hillcrest Pkwy Ste 1
Dublin, GA 31021-4259 - Phone
- (478) 272-8140
- NPI assigned
- Jul 1, 2019
- Last updated
- Oct 31, 2025
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP240268 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanuel County Hospital Authority | Current | Accepting new patients | |
| Emanuel County Hospital Authority | Current | Accepting new patients | |
| Emanuel County Hospital Authority | Current | Accepting new patients | |
| Stacey H Williford LLC | Family | Current | Accepting new patients |
| Emanuel Prompt Care | Current | 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
- https://fhir4.healow.com/fhir/r4/JFJEDD/Endpoint/JFJEDD
- 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.
-
dba Emanuel Surgical Associates
- Surgery Physician
- Swainsboro, GA
- NPI 1003221243
-
dba Cardinal Healthcare
- Family Nurse Practitioner
- Sandersville, GA
- NPI 1447987227
-
- Urgent Care Clinic/Center
- Swainsboro, GA
- NPI 1487484820
-
dba Emanuel Medical Center
- Rural Acute Care Hospital
- Swainsboro, GA
- NPI 1235129214
-
dba Emanuel Wound Care
- Clinic/Center
- Swainsboro, GA
- NPI 1285108084
-
dba Swainsboro Internal Medicine
- Rural Health Clinic/Center
- Swainsboro, GA
- NPI 1366784415
-
dba Emanuel Family Medical Clinic
- Rural Health Clinic/Center
- Swainsboro, GA
- NPI 1437577350
-
- Internal Medicine Physician
- Athens, GA
- NPI 1508378613
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emanuel Medical Center
- Rural Acute Care Hospital
- Swainsboro, GA
- NPI 1235129214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.