Kimberly H Graw, APRN, BC, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN191658 Issued in GA

Practice address

130 N Gross Rd Ste 205
Kingsland, GA 31548-6277

Phone

(912) 576-3880

Fax

(912) 216-3287

NPI assigned

Oct 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Hope Young Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1912335100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BRISTOL HAMMOCK CIR",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486040",
            "telephone_number": "912-552-0678",
            "fax_number": "912-216-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N GROSS RD STE 205",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486277",
            "telephone_number": "912-576-3880",
            "fax_number": "912-216-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAW",
        "first_name": "KIMBERLY",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC,  FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN191658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "YOUNG",
            "middle_name": "HOPE",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kimberly Michelle Gomez, MSN, APRN, FNP-C
• Samantha Graf
• Briana Gray
• Shilliane M Green
• Marissa Danielle Hagenbruch, DPT
• Barbara Ann Hahn, CRNA
• Paige B Hand, LPC, NCC

• Family Nurse Practitioner in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.