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

Individual provider Family Nurse Practitioner · NPI 1134310824

Kimberly R Hickman, CNP is a Nurse Practitioner in Perry, Georgia. Qualified in 2007, 19 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group and accepts Medicare assignment. Licensed in Georgia and Ohio.

Years since qualifying
19
Licensed in
GA, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1019 Keith Dr
Perry, GA 31069-4951
Phone: (478) 988-8556
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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 237831 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA 09489 (OH)

Record details

NPI number1134310824
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 7, 2007
Last updated in NPPESJune 27, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Perry