Individual provider Active NPI

Kimberly Camille Carter Mahamid, KIMBERLY CARTER PA-C

  • Physician Assistant
  • Celebration, FL
National Provider Identifier
1073970943
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109235 Issued in FL
Practice address
410 Celebration PL Ste 401a
Celebration, FL 34747-5436
Phone
(407) 303-3820
NPI assigned
Jan 24, 2016
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109235 FL Primary
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 1

  • Kimberly Carter Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160324001381 FL Practitioner - Physician Assistant 2961709514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 0749186153, 1,735 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-9109235FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Nov 6, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 6, 2023 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

  • Direct secure messaging: kcartermahamid71052@adventhealth.direct-ci.com

Organizations & group practices 2

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 2

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": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1073970943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 5000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045525",
            "telephone_number": "407-821-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 401A",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475436",
            "telephone_number": "407-303-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 E Rollins St Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328045525",
            "country_code": "US",
            "telephone_number": "407-821-3540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER MAHAMID",
        "first_name": "KIMBERLY",
        "middle_name": "CAMILLE",
        "credential": "KIMBERLY CARTER PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-24",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109235",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA-9109235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CARTER",
            "credential": "KIMBERLY CARTER PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.