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Kimberly L. Hiott

Counselor β€’ Dacula, GA

Active NPI 1548210404 Individual Practitioner Female Practitioner
Practice location in NPPES

3617 Braselton Hwy Ste 104
Dacula, GA 300194667

Call 6785492255 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

3617 Braselton Hwy Ste 104

Dacula, GA 300194667

Telephone 6785492255
Fax 7707838927
Organization at the Same NPPES Address or Phone
Kim Hiott, Llc Facility NPI 1366970543

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

NPI first issued

2006

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

Compared with the same specialty in Dacula and Georgia

5 active clinicians are listed under Counselor with a practice address in Dacula, GA (1,510 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES GA LPC005898

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES SC 4710
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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
003124243A (GA)

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
Cheryl Hughes , LCSW, CSW-G

Social Worker - Clinical

NPI 1225345093

Licensed Clinical Social Worker, CSWG

Cathy Sutton , LCSW

Social Worker - Clinical

NPI 1699153403

Licensed Clinical Social Worker

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 September 26, 2018

Registered at 3617 BRASELTON HWY STE 104, DACULA, GA 300194667 (Tel: 6785492255)

πŸ“
Updated Business Mailing Address September 26, 2018

Registered at 3617 BRASELTON HWY STE 104, DACULA, GA 300194667 (Tel: 6785492255)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Counselor (license number reported to NPPES: SC 4710)

βœ…
NPI Profile Active April 19, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 19, 2012

Registered at 4720 PEACHTREE INDUSTRIAL BLVD STE 102, JYDES FAMILY CLINIC, NORCROSS, GA 300715736 (Tel: 7706863232)

πŸ“
Business Mailing Address (Initial Record) April 19, 2012

Registered at 4720 PEACHTREE INDUSTRIAL BLVD STE 102, JYDES FAMILY CLINIC, NORCROSS, GA 300715736 (Tel: 7706863232)

πŸ‘€
Provider Name / Credentials (Initial Record) April 19, 2012

Recorded as KIMBERLY HIOTT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2012

Counselor (license number reported to NPPES: GA LPC005898)

🟒
Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548210404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: September 26, 2018
Sole Proprietor: Yes

Mailing Address

3617 Braselton Hwy Ste 104

Dacula, GA 300194667

Phone: 6785492255

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.