Active NPI
Kimbolic Hamilton
- Mental Health Counselor
- Montezuma, GA
National Provider Identifier
1942111752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC008332
- Practice address
- 910 Weathers Dr
Montezuma, GA 31063-1016 - Phone
- (478) 244-4131
- NPI assigned
- Sep 14, 2026
- Last updated
- Sep 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC008332 | GA | Primary |
Addresses
Primary practice location
910 Weathers Dr
Montezuma, GA 31063-1016
Mailing address
910 Weathers Dr
Montezuma, GA 31063-1016
Phone (478) 244-4131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1942111752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 WEATHERS DR",
"city": "MONTEZUMA",
"state": "GA",
"postal_code": "310631016",
"telephone_number": "478-244-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 WEATHERS DR",
"city": "MONTEZUMA",
"state": "GA",
"postal_code": "310631016",
"telephone_number": "478-244-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "KIMBOLIC",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC008332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montezuma, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.