Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johanna Kimberl, PA-C

Individual provider Physician Assistant · NPI 1477915718

Johanna Kimberl, PA-C is a Physician Assistant in Marietta, Georgia. Qualified in 2015, 11 years ago. Practices with Vascular Surgical Associates, PC, a 25-clinician group and accepts Medicare assignment. Licensed in Georgia and Mississippi.

Years since qualifying
11
Licensed in
GA, MS
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

61 Whitcher St NE Ste 2100
Marietta, GA 30060-1179
Phone: (770) 423-0595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11982 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA00285 (MS)

Record details

NPI number1477915718
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Vascular Surgical Associates, Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Marietta