Kimberly Guthas Hart, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5716 Issued in GA

Practice address

Herschel a. Smith Health Clinic
800 GSW State University Dr.
Americus, GA 31709

Phone

(229) 931-2235

Fax

(229) 931-2666

NPI assigned

Sep 9, 2009

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

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

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Phoebe Dorminy Kids Health

  • Clinic/Center
  • Fitzgerald, GA
  • NPI 1144501867
  NPD
• Phoebe Sumter Medical Center, Inc

  • Rural Health Clinic/Center
  • Ellaville, GA
  • NPI 1376778001
  NPD (past)

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1962735969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 WOOD VALLEY RD",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317098010",
            "telephone_number": "229-942-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HERSCHEL A. SMITH HEALTH CLINIC",
            "address_2": "800 GSW STATE UNIVERSITY DR.",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-931-2235",
            "fax_number": "229-931-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "KIMBERLY",
        "middle_name": "GUTHAS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Donell Harris, BSW
• Shakedra Little Harris, LCSW
• Hart Eye Care, P.C.
• Brooks W Hart, RPH
• David A Hart, O.D.
• Tracey Hart
• Gabrielle Annastasia Hartage
• Ariel Denise Harvey
• Karla Harvey
• Baqar Hasnain, D.D.S.

• Physician Assistant in Americus, GA
• Providers in Americus, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.