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Kimberly Odom , LPC

Counselor - Professional β€’ Augusta, GA

Active NPI 1396140331 Individual Practitioner Female Practitioner
Practice location in NPPES

1265 Interstate Pkwy
Augusta, GA 309096481

Call 7068493386 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1265 Interstate Pkwy

Augusta, GA 309096481

Telephone 7068493386
Organization at the Same NPPES Address or Phone
Tracey Taylor Carter Facility NPI 1649702739

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Decatur, GA; Milledgeville, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kimberly Odom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kimberly Odom as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Augusta and Georgia

186 active clinicians are listed under Counselor - Professional with a practice address in Augusta, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

1.6% of these 186 clinicians have the CMS telehealth indicator.

9.1% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA 007734
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240419002330

Enrollment State Jurisdiction

GA

PECOS Control ID

5193164333

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

191 Faith Dr Se

Milledgeville, GA 310618327

Phone: 7707121743

465 Winn Way Ste 221

Decatur, GA 300301723

Phone: 8885888995

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Sylina Holmes , LCSW

Social Worker - Clinical

NPI 1750634614

Licensed Clinical Social Worker

NPI 1457632150

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location February 21, 2025

Registered at 1265 INTERSTATE PKWY, AUGUSTA, GA 309096481 (Tel: 7068493386)

πŸ“
Updated Practice Location March 31, 2023

Registered at 465 WINN WAY STE 221, DECATUR, GA 300301723 (Tel: 8885888995)

πŸ“
Updated Business Mailing Address March 31, 2023

Registered at 465 WINN WAY STE 221, DECATUR, GA 300301723 (Tel: 8885888995)

βœ…
NPI Profile Active November 04, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 04, 2014

Registered at 1630 VINSON HWY SE, MILLEDGEVILLE, GA 310614102 (Tel: 4782519345)

πŸ“
Business Mailing Address (Initial Record) November 04, 2014

Registered at PO BOX 213, MILLEDGEVILLE, GA 310590213 (Tel: 4782519345)

πŸ‘€
Provider Name / Credentials (Initial Record) November 04, 2014

Recorded as KIMBERLY ODOM, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2014

Counselor (license number reported to NPPES: GA 007734)

🟒
Initial NPI Registration & Enumeration November 04, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396140331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2014
Last Update: February 21, 2025
Sole Proprietor: Yes

Other Counselor - Professionals in Augusta

Healthcare providers in Augusta

Mailing Address

465 Winn Way Ste 221

Decatur, GA 300301723

Phone: 8885888995

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.