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

Kimberly V Teats-Garrison, PA-C

Individual provider Physician Assistant · NPI 1164909164

Kimberly V Teats-Garrison, PA-C is a Physician Assistant in Fulton, Illinois. Qualified in 2018, 8 years ago. Practices with Cgh Medical Center, a 201-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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

1130 17th St Ste B
Fulton, IL 61252-2008
Phone: (815) 589-2005
Fax: (815) 632-5975
Show map & directions

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

Additional practice locations (1)

  • 1705 16th Ave, Fulton, IL 61252-9708 — (815) 589-2121

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164909164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2018
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cgh Medical Center — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare