Kimberly Shawn Dobson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011877 Issued in GA

Practice address

1260 Concord Rd SE Ste 203
Smyrna, GA 30080-4380

Phone

(678) 984-5768

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Savannah Trauma Institute

  • Counselor
  • Pooler, GA
  • NPI 1255189890
  NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1265034243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BELMONT PL SE UNIT 2415",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802057",
            "telephone_number": "678-984-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 CONCORD RD SE STE 203",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804380",
            "telephone_number": "678-984-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "KIMBERLY",
        "middle_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Dixon, CCC-SLP
• Elizabeth Dixon, DPT
• Dkumar LLC
• DKW Dentistry
• Phong Hoang DO, M.D.
• Odetta Mary Dodson, LMT
• Jeny Fernanda Dominguez Castillo
• Kimberly Lynn Domon
• Donald F. Marshall D.D.S. P.C.
• Martha Louise Dorsey, PH.D.

• Professional Counselor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.