Kimberly Camille Carter Mahamid, KIMBERLY CARTER PA-C
Individual provider Active NPI Physician Assistant · Celebration, FL
NPI 1073970943 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1073970943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9109235 (FL)
- Practice address
- 410 Celebration PL Ste 401a
Celebration, FL 34747-5436 - Phone
- (407) 303-3820
- NPI assigned
- Jan 24, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Florida Hospital Medical Group Inc
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
400 Celebration PL
Celebration, FL 34747-4970
410 Celebration PL
Celebration, FL 34747-5436
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570
Hospital & facility affiliations
- Adventhealth Orlando
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160324001381 | FL | Practitioner - Physician Assistant | 2961709514 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109235 | FL | MD | Physician Assistant |
| PA-9109235 | FL | MD | Surgical Physician Assistant |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Physician Assistant | Current |
Accepting new patients |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients |
Locations
410 Celebration Pl
Ste 401A
Kissimmee, FL 34747
Phone (407) 303-3820
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
265 E Rollins St
Ste 5000
Orlando, FL 32804
Phone (407) 821-3540
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- kcartermahamid71052@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109235 | FL | Yes |
| Surgical Physician Assistant | 363AS0400X | PA-9109235 | FL |
Addresses
Primary practice location
410 Celebration PL Ste 401a
Celebration, FL 34747-5436
Mailing address
265 E Rollins St Ste 5000
Orlando, FL 32804-5525
Phone (407) 821-3540
Other practice location 1
265 E Rollins St Ste 5000
Orlando, FL 32804-5525
Phone (407) 821-3540
Other names
- Kimberly Carter
Other providers in Celebration, FL
- Sarah Cancel
- Justin Candelora
- Gloria Marina Cardenas
- Marc Bryan Carmody
- Tiffany Carr
- Cesar A Castillo Alicea
- Maureen Ann Castner
- Anna Quynh-an Cat
- Nina Ann Cavalli
- Roland Dominic Cayer
All providers in Celebration, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.