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

Kimberly Cecil, PA

Individual provider Physician Assistant · NPI 1124791405

Kimberly Cecil, PA is a Physician Assistant in Waycross, Georgia. Qualified in 2004, 22 years ago. Practices with Consultants in Pain Medicine LLC, a 16-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1218 Alice St
Waycross, GA 31501-4525
Phone: (912) 590-0973
Fax: (912) 590-0180
Show map & directions

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

Additional practice locations (2)

  • 195 E Tollison St Bldg C, Baxley, GA 31513-0172 — (912) 590-0973
  • 3408 Trout St, Brunswick, GA 31520-3622 — (912) 590-0973

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10243 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1124791405
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 31, 2021
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Consultants In Pain Medicine Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Waycross