Organization Active NPI

Thomas John Kidder

  • Counselor
  • Brunswick, GA
National Provider Identifier
1659287308
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THOMAS JOHN KIDDER
Practice address
1421 Lee St
Brunswick, GA 31520-7132
Phone
(912) 265-0007
Fax
(912) 261-0593
NPI assigned
Aug 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Catherine Collett
Title
Billing Coordinator
Phone
(912) 270-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1421 Lee St
Brunswick, GA 31520-7132

Mailing address

1421 Lee St
Brunswick, GA 31520-7132
Phone (912) 265-0007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1659287308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 LEE ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207132",
            "telephone_number": "912-265-0007",
            "fax_number": "912-261-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LEE ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207132",
            "telephone_number": "912-265-0007",
            "fax_number": "912-261-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JOHN KIDDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "912-270-1690"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.