Individual provider Active NPI

Ginny Kington, PSY.D.

  • Clinical Psychologist
  • Duluth, GA
National Provider Identifier
1750538385
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003389 Issued in GA
Practice address
2805 Peachtree Industrial Blvd Ste 115
Duluth, GA 30097-8170
Phone
(678) 203-4499
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY003389 GA Primary

Addresses

Primary practice location

2805 Peachtree Industrial Blvd Ste 115
Duluth, GA 30097-8170

Mailing address

2805 Peachtree Industrial Blvd Ste 115
Duluth, GA 30097-8170
Phone (678) 203-4499

Other practice location 1

700 Beaver Ruin Rd NW
Suite F
Lilburn, GA 30047-3404
Phone (678) 318-1730 ext. 103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 10, 2024 through Nov 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY003389GAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1750538385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 PEACHTREE INDUSTRIAL BLVD STE 115",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978170",
            "telephone_number": "678-203-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 PEACHTREE INDUSTRIAL BLVD STE 115",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978170",
            "telephone_number": "678-203-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Beaver Ruin Rd NW",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473404",
            "country_code": "US",
            "telephone_number": "678-318-1730 x103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGTON",
        "first_name": "GINNY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.