Individual provider Active NPI

Kimberly Perkins

  • Clinical Social Worker
  • Columbus, GA
National Provider Identifier
1306171129
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2100 Comer Ave
Columbus, GA 31904-8725
Phone
(706) 596-5512
Fax
(706) 596-5589
NPI assigned
Oct 13, 2009
Last updated
Oct 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2100 Comer Ave
Columbus, GA 31904-8725

Mailing address

4343 Warm Springs Rd
Apt. 1607
Columbus, GA 31909-5902
Phone (706) 587-6337

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020000836 GA Practitioner - Clinical Social Worker 2163643925 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource of North Carolina Clinical CurrentSince May 1, 2022 Accepting new patients
Christopher Dennis MD PLLC Clinical CurrentSince Mar 1, 2024 Accepting new patients
Rivertown Psychiatry, PC CurrentSince May 1, 2018 Accepting new patients
Lifesource of North Carolina Clinical CurrentSince May 1, 2022 Accepting new patients
Good Health Counseling and Consulting LLC Clinical Current Accepting new patients
MC Medical LLC Current Accepting new patients
New Horizons Area MH Mr Sa Program CurrentSince Jul 29, 2014 Accepting new patients

Locations

6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933

2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174

5700 Veterans Pkwy
Columbus, GA 31904
Phone (706) 221-3222

1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902

3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542

125 Pavilion Pkwy
Ste A
Fayetteville, GA 30214
Phone (770) 719-0939

11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159

1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1306171129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 WARM SPRINGS RD",
            "address_2": "APT. 1607",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095902",
            "telephone_number": "706-587-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 COMER AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048725",
            "telephone_number": "706-596-5512",
            "fax_number": "706-596-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.