Kimberly Diane Canupp, AGACNP
NPI 1619552536ActiveIndividual· Nurse Practitioner, Acute Care· Gainesville, GA
Nurse Practitioner, Acute Care (AGACNP) with Northeast Georgia Physicians Group Inc and 1 other group, practicing in Gainesville, Georgia. Medicare paid $4,996 for services to 39 patients in 2024. Lists Northeast Georgia Medical Center, Inc and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1619552536 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | No |
| NPI issued | Mar 11, 2021 |
| Last updated in NPPES | Jun 25, 2026 |
| Certified by provider | Jun 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | APRN-RN268584 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 53 across 7 procedure codes |
| Paid by Medicare | $4,996 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Northeast Georgia Physicians Group IncGainesville, GA · 883 clinicians
- Gwinnett Physician Group, LLCLawrenceville, GA · 113 clinicians
Hospital affiliations
- Northeast Georgia Medical Center, IncGainesville, GA
- Northside Hospital GwinnettLawrenceville, GA
- Union General HospitalBlairsville, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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