Active NPI 1487856092 Individual Practitioner Female Practitioner

Kimberly Miller Connally , PA-C

Physician Assistant • Columbus, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Connally, PA-C is a certified Physician Assistant practicing in Columbus, GA. With approximately 19 years of clinical experience since completing medical education in 2007, Kimberly Connally delivers high-quality medical care to the local community at 1150 BROOKSTONE CENTRE PKWY.

Kimberly Connally is affiliated with Douglas Dermatology And Skin Cancer Specialists Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1150 Brookstone Centre Pkwy

Columbus, GA 319044577

Telephone 7062574189

Fax 7062574194

Associated Practice Facility / Clinic

🏢 Riverside Dermatology And Aesthetic Center, Pc Facility NPI 1982010716

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Columbus, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +7.6 yrs vs City Avg

City Avg: 11.4 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

84 Specialists

Practicing in Columbus, GA (4726 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Connally (19 Years) 19 Yrs

Columbus Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,746	279	$25.00	$5.08
99213 Established patient office or other outpatient visit, typically 15 minutes	955	631	$315.00	$72.56
17000 Destruction of skin growth	519	364	$281.00	$39.91
11102 Tangential biopsy of single skin lesion	361	286	$427.00	$69.78
17110 Destruction of up to 14 skin growths	268	225	$477.00	$87.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	121	$461.00	$102.66
11103 Biopsy of related skin growth, each additional growth	170	99	$230.00	$38.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	151	127	$193.00	$44.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$460.00	$89.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	12	$20.00	$0.98
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	58	22	$700.00	$388.84
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	55	46	$1314.00	$231.67
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	40	34	$1222.00	$123.17
96574 Application of light with debridement to destroy precancer skin growth	38	22	$1109.00	$209.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$696.00	$134.52
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	30	24	$829.00	$133.55
17004 Destruction of precancer skin growth, 15 or more growths	28	26	$654.00	$130.25
69100 Biopsy of ear	24	22	$424.00	$46.69
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$1071.00	$104.77
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	15	$726.00	$100.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	14	$760.00	$107.04
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$325.00	$57.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,377	245	$25.00	$5.17
99213 Established patient office or other outpatient visit, typically 15 minutes	916	606	$315.00	$72.20
17000 Destruction of skin growth	453	325	$281.00	$42.16
11102 Tangential biopsy of single skin lesion	290	239	$427.00	$73.41
17110 Destruction of up to 14 skin growths	247	213	$477.00	$87.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	185	162	$193.00	$44.92
11103 Biopsy of related skin growth, each additional growth	157	90	$230.00	$39.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$460.00	$89.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	78	$461.00	$102.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	18	$20.00	$1.06
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	67	32	$700.00	$384.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	58	52	$1314.00	$235.36
96574 Application of light with debridement to destroy precancer skin growth	48	32	$1109.00	$215.69
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	40	34	$1222.00	$119.05
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$325.00	$57.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$696.00	$134.21
11900 Injection into skin growth, 1-7 growths	29	16	$234.00	$40.35
17004 Destruction of precancer skin growth, 15 or more growths	25	23	$654.00	$132.95
11104 Punch biopsy, first skin growth	24	23	$536.00	$91.92
69100 Biopsy of ear	21	19	$424.00	$56.22
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	13	$726.00	$80.50
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$1071.00	$96.65
17111 Destruction of skin growth, 15 or more growths	15	11	$564.00	$103.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,715	253	$25.00	$5.29
99213 Established patient office or other outpatient visit, typically 15 minutes	927	574	$315.78	$73.18
17000 Destruction of skin growth	461	315	$281.00	$41.73
11102 Tangential biopsy of single skin lesion	291	245	$427.00	$72.78
17110 Destruction of up to 14 skin growths	248	203	$477.00	$88.63
11103 Biopsy of related skin growth, each additional growth	182	107	$230.00	$40.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	180	180	$460.00	$90.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	161	128	$193.00	$45.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	60	$461.00	$103.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	24	$20.00	$1.15
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	64	56	$1314.00	$235.59
17004 Destruction of precancer skin growth, 15 or more growths	56	47	$654.00	$133.53
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	42	33	$1222.00	$119.39
11900 Injection into skin growth, 1-7 growths	35	22	$234.00	$39.91
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$325.00	$58.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$696.00	$135.67
69100 Biopsy of ear	25	23	$424.00	$57.43
17111 Destruction of skin growth, 15 or more growths	25	19	$564.00	$104.72
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	16	$760.00	$123.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	21	$98.00	$18.10
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	16	$1071.00	$108.32
11104 Punch biopsy, first skin growth	14	14	$536.00	$100.59
10060 Simple or single drainage of skin abscess	13	12	$510.00	$99.23
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	13	$829.00	$154.29
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$726.00	$89.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,596	233	$25.00	$5.09
99213 Established patient office or other outpatient visit, typically 15 minutes	753	495	$314.80	$73.73
17000 Destruction of skin growth	391	279	$281.00	$40.48
11102 Tangential biopsy of single skin lesion	310	261	$427.00	$75.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	243	196	$192.72	$45.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	238	238	$460.00	$90.80
11103 Biopsy of related skin growth, each additional growth	232	113	$230.00	$41.77
17110 Destruction of up to 14 skin growths	226	189	$477.00	$88.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	78	$461.00	$104.27
17004 Destruction of precancer skin growth, 15 or more growths	86	65	$654.00	$131.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	19	$20.00	$1.26
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$325.00	$58.64
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	34	33	$1222.00	$129.36
11900 Injection into skin growth, 1-7 growths	34	18	$234.00	$40.93
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	30	$1314.00	$229.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$696.00	$136.40
17111 Destruction of skin growth, 15 or more growths	23	19	$564.00	$105.14
11104 Punch biopsy, first skin growth	19	17	$536.00	$98.22
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	18	17	$1728.00	$323.89
69100 Biopsy of ear	18	15	$424.00	$56.90
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	17	15	$829.00	$131.51
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	12	$760.00	$111.10
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	13	13	$1355.00	$184.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,391	223	$25.00	$4.81
99213 Established patient office or other outpatient visit, typically 15 minutes	479	362	$315.30	$61.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	448	331	$461.00	$90.04
17000 Destruction of skin growth	364	271	$281.00	$41.69
11103 Biopsy of related skin growth, each additional growth	255	101	$230.00	$43.20
11102 Tangential biopsy of single skin lesion	247	216	$427.00	$74.33
17110 Destruction of up to 14 skin growths	194	169	$475.57	$89.13
99202 New patient office or other outpatient visit, typically 20 minutes	181	181	$325.00	$62.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$460.00	$88.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	85	22	$20.00	$1.48
17004 Destruction of precancer skin growth, 15 or more growths	52	45	$654.00	$129.10
69100 Biopsy of ear	26	21	$424.00	$47.66
11900 Injection into skin growth, 1-7 growths	24	14	$234.00	$43.08
11104 Punch biopsy, first skin growth	23	20	$536.00	$101.96
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	14	$1222.00	$139.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$193.00	$37.18
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$1314.00	$230.36
17111 Destruction of skin growth, 15 or more growths	14	13	$564.00	$106.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$72.00	$11.59
10060 Simple or single drainage of skin abscess	11	11	$510.00	$99.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	365	68	$25.00	$4.70
99213 Established patient office or other outpatient visit, typically 15 minutes	145	128	$315.00	$61.78
17000 Destruction of skin growth	94	83	$281.00	$46.10
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$325.00	$62.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$460.00	$89.50
11102 Tangential biopsy of single skin lesion	49	46	$427.00	$72.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$461.00	$92.86
11103 Biopsy of related skin growth, each additional growth	38	20	$230.00	$43.59
17110 Destruction of up to 14 skin growths	36	36	$477.00	$90.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	393	80	$24.05	$4.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	171	$174.00	$87.53
17000 Destruction of skin growth	175	133	$116.24	$42.75
99213 Established patient office or other outpatient visit, typically 15 minutes	159	139	$133.50	$59.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	115	$70.31	$35.28
11100 Biopsy of single growth of skin and/or tissue	146	131	$146.76	$76.58
17110 Destruction of up to 14 skin growths	90	80	$152.98	$86.82
99202 New patient office or other outpatient visit, typically 20 minutes	88	88	$117.77	$60.77
11101 Biopsy of each additional growth of skin and/or tissue	84	48	$64.98	$26.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$165.90	$88.02
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$415.09	$242.55
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$331.67	$158.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	57	$140.34	$58.84
17003 Destruction of precancer skin growth, 2-14 growths	38	14	$10.68	$4.48
11100 Biopsy of single growth of skin and/or tissue	32	32	$195.69	$78.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$207.04	$86.62
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$143.36	$60.15
17000 Destruction of skin growth	19	19	$126.93	$42.08
17110 Destruction of up to 14 skin growths	15	14	$208.21	$87.32

Medical Specialties & State Licenses

CMS Verified: 2022-03-23

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 5065

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License GA 1561

Hospital & Practice Group Affiliations

Douglas Dermatology And Skin Cancer Specialists Llc

4645 Timber Ridge Dr, Douglasville, GA 301357542

Phone: 6787023376

Douglas Dermatology And Skin Cancer Specialists Llc

400 Brookstone Centre Pkwy, Columbus, GA 319049269

Phone: 6787023376

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Karin Fuller , PA-C

Physician Assistant

NPI 1225743495

Physician Assistant (Certified)

Dr. Jacqueline Flandry , MD

Dermatology

NPI 1306089800

Doctor of Medicine (M.D.)

Jenise Santos , PA-C

Physician Assistant

NPI 1760966535

Physician Assistant (Certified)

Danielle Wiseley , PA-C

Physician Assistant

NPI 1912379421

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

👤

Provider Name / Credentials Updated March 23, 2022

Recorded as KIMBERLY CONNALLY, PA-C

📍

Updated Business Mailing Address April 17, 2018

Registered at 1150 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 319044577 (Tel: 7062574189)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2018

Physician Assistant (License #1561 in GA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant

✅

NPI Profile Active September 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2017

Registered at 1150 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 319044577 (Tel: 7062574189)

📍

Updated Business Mailing Address September 09, 2017

Registered at 2045 CENTRE STONE CT STE B, COLUMBUS, GA 319044561 (Tel: (706) 257-4189)

👤

Provider Name / Credentials Updated September 09, 2017

Recorded as KIMBERLY PARKER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2017

Physician Assistant (License #1561 in GA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Physician Assistant

✅

NPI Profile Active June 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2016

Registered at 2045 CENTRE STONE CT STE B, COLUMBUS, GA 319044561 (Tel: 7062574189)

📍

Updated Business Mailing Address June 29, 2016

Registered at 2045 CENTRE STONE CT STE B, COLUMBUS, GA 319044561 (Tel: 7062574189)

👤

Provider Name / Credentials Updated June 29, 2016

Recorded as KIMBERLY PARKER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2016

Physician Assistant (License #1561 in GA)

🟢

Initial NPI Registration & Enumeration June 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1487856092

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 05, 2007

Last Update: March 23, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1150 Brookstone Centre Pkwy

Columbus, GA 319044577

Phone: 7062574189

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.