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

Kimberly Bagwell, FNP-C

Individual provider Family Nurse Practitioner · NPI 1396192548

Kimberly Bagwell, FNP-C is a Nurse Practitioner in Columbus, Georgia. Qualified in 2016, 10 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1921 Whittlesey Rd Ste 100
Columbus, GA 31904-9209
Phone: (706) 250-6026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 184587 (GA)

Record details

NPI number1396192548
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 18, 2016
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address1921 Whittlesey Rd Ste 100, Columbus, GA 31904-9209

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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