Kimberly Kristen Payne

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4443 Grove Dr NW
Acworth, GA 30101-6397

Phone

(770) 617-4251

NPI assigned

Mar 5, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1639936784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4443 GROVE DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016397",
            "telephone_number": "770-617-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 GROVE DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016397",
            "telephone_number": "770-617-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KIMBERLY",
        "middle_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Patrick
• Daneen R Paul, CMA
• Tracy Payne Kerr
• Andrew Payne, D.C.
• Candice Denise Payne, HOME HEALTH AID
• Kyle J Payne, DPT
• Pda Ortho Specialty of Georgia, LLC
• Pda Specialty of Georgia, LLC
• Pediatric Therapy Solutions of Georgia, LLC
• Hannah Pepper

• Behavior Technician in Acworth, GA
• Providers in Acworth, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.