Kimberly Monique Fryer, MSN, AGNP-C

Key facts

NPI: 1164066031
Entity type: Individual (NPI type 1)
Primary specialty: Adult Health Nurse Practitioner 363LA2200X
License: RN174123 (GA)
Practice address: 253 E Highway 78
Temple, GA 30179-4348
Phone: (770) 526-4501
NPI assigned: Nov 4, 2019
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Crawford Plastic Surgery Plastic Surgery Physician · Kennesaw, GA · NPI 1295993194

Medicare reassignment Care Compare group NPD GA
CPS Infusion, LLC Plastic Surgery Physician · Kennesaw, GA · NPI 1982308318

NPD

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2017
Medicare assignment: May accept Medicare assignment
Group practices: Crawford Plastic Surgery (2 clinicians)

Practice addresses (Care Compare)

3450 Acworth Due W Rd NW
Suite 220
Kennesaw, GA 30144-1001
Phone 77079466435

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
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
I20250903000313	GA	Practitioner - Nurse Practitioner	6901307644	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science - Nursing

State licenses

License	State	Type	Specialty
RN174123	GA	MD	Adult Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Crawford Plastic Surgery		Current since Aug 1, 2025	Accepting new patients
CPS Infusion, LLC		Current since Aug 1, 2025	Accepting new patients

Locations

3450 Acworth Due West Rd NW
Kennesaw, GA 30144
Phone (770) 794-6643

3450 Acworth Due West Rd NW
Ste 220
Kennesaw, GA 30144
Phone (770) 794-6643

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Nurse Practitioner	363LA2200X	RN174123	GA	Yes

Addresses

Primary practice location

253 E Highway 78
Temple, GA 30179-4348

Mailing address

PO Box 1367
Temple, GA 30179-1367
Phone (770) 562-4501

Other providers in Temple, GA

All providers in Temple, GA · Adult Health Nurse Practitioner in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2019. 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.

Verify at the official NPI Registry.