Individual provider Active NPI

Kimberly Drummond, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1043970650
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN217161 Issued in GA
Practice address
2720 Waterford Park Dr
Lawrenceville, GA 30044-2765
Phone
(404) 697-9606
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN217161 GA Primary

Addresses

Primary practice location

2720 Waterford Park Dr
Lawrenceville, GA 30044-2765

Mailing address

2720 Waterford Park Dr
Lawrenceville, GA 30044-2765
Phone (404) 697-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712002833 GA Practitioner - Nurse Practitioner 0244610939 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

1301 Shiloh Rd NW
Suite 1810
Kennesaw, GA 30144-7171
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN217161GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of Georgia LLC CurrentSince Jun 1, 2023 Accepting new patients
Georgia Mountains Community Services CurrentSince Jun 1, 2022 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jun 30, 2025 Accepting new patients
Psychiatric Professionals of Georgia, LLC CurrentSince May 18, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jun 30, 2025 Accepting new patients

Locations

150A Johnson St
Dahlonega, GA 30533
Phone (706) 864-6822

1810 Peachtree Industrial Blvd
Ste 204
Duluth, GA 30097
Phone (770) 513-7666

1301 Shiloh Rd NW
Ste 1810
Kennesaw, GA 30144
Phone (470) 428-7087

227 Scenic Hwy
Ste A
Lawrenceville, GA 30046
Phone (770) 462-5722

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

3541 N Crossing Cir
Valdosta, GA 31602
Phone (229) 244-4200

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1043970650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 WATERFORD PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442765",
            "telephone_number": "404-697-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 WATERFORD PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442765",
            "telephone_number": "404-697-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "KIMBERLY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN217161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.