Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Evonne Miller-Hammond, MD

Individual provider Surgery Physician · NPI 1164665428

Kimberly Evonne Miller-Hammond, MD is a General Surgery in Mount Vernon, Illinois. Graduated from Morehouse School of Medicine in 2009, 17 years ago. Practices with Morehouse Healthcare, Inc, a 158-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and South Carolina.

Years since qualifying
17
Trained at
Morehouse School of Medicine
Licensed in
IL, SC
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone: (770) 617-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1175 Cook Rd, Orangeburg, SC 29118-8201 — (803) 395-3960

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036159613 (IL)
Surgery Physician Taxonomy 208600000X · Licence TL37495 (SC)

Record details

NPI number1164665428
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2009
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Morehouse Healthcare, Inc. — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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