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

Kimberley Whitley Rodgers, FNP

Individual provider Family Nurse Practitioner · NPI 1629856075

Kimberley Whitley Rodgers, FNP is a Nurse Practitioner in Tifton, Georgia. Qualified in 2022, 4 years ago. Practices with Tift Regional Health System Inc, a 292-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 353-7120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP206092 (GA)

Record details

NPI number1629856075
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tift Regional Health System Inc — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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