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

Kimberly Ann Obrien, PA-C

Individual provider Surgical Physician Assistant · NPI 1164551289

Kimberly Ann Obrien, PA-C is a Physician Assistant in Tarboro, North Carolina. Qualified in 2003, 23 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
23
Licensed in
MD, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

101 Clinic Dr
Tarboro, NC 27886-1935
Phone: (252) 823-4245
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 197457 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence C0003955 (MD)

Record details

NPI number1164551289
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESApril 10, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare