Kimberly Amedee, in Conyers, GA - Medicare Nurse Practitioner

Kimberly Amedee, is a medicare enrolled "Nurse Practitioner - Family" in Conyers, Georgia. Her current practice location is 2213 Exchange Pl Se, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 483-4431.

Kimberly Amedee is licensed to practice in Georgia (license number RN194341) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548721707.

Contact Information

	Kimberly Amedee,
	2213 Exchange Pl Se, Conyers, GA 30013-6723
	(770) 483-4431
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Amedee
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2213 Exchange Pl Se, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548721707
Provider Enumeration Date: 03/28/2019
Last Update Date: 07/29/2025

Medicare PECOS Information:

PECOS PAC ID: 6305226499
Enrollment ID: I20220707000697

Medical Identifiers

Medical identifiers for Kimberly Amedee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548721707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN194341 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Amedee allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Womens Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225085475 PECOS PAC ID: 1951398619 Enrollment ID: O20040427000059

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Amedee is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Amedee, 310 Homestead Way, Covington, GA 30014-8299 Ph: (631) 889-1851	Kimberly Amedee, 2213 Exchange Pl Se, Conyers, GA 30013-6723 Ph: (770) 483-4431

Reviews and Comments

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Kimberly Amedee, - Medicare Nurse Practitioner in Conyers, GA