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DERRICK E KIMBLE M.ED.
NPI 1063737963
Counselor - Professional in Augusta, GA

Active since April 02, 2010
2903 GALAHAD WAY, AUGUSTA, GA 30909(706) 495-2351 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick E Kimble M.ed. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK E KIMBLE M.ED. (NPI 1063737963) is an individual professional provider in Augusta, Georgia and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1063737963
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDERRICK E KIMBLECredential: M.ED.
Location Address2903 GALAHAD WAYAugusta, GA 30909-9147
Mailing Address2903 Galahad WayAugusta, GA 30909-9147 · (706) 495-2351
Phone(706) 495-2351
Sole ProprietorYes
Enumeration DateApril 2, 2010
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1063737963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedBehavior TechnicianTaxonomy 106S00000X
2903 GALAHAD WAY, Augusta, GA 30909
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREAKTHROUGH COUNSELING, COACHING AND CONSULTING LLC
Community/Behavioral Health
2903 GALAHAD WAY
AUGUSTA, GA 30909
Richmond County (404) 496-4614
DERRICK E. KIMBLE INC
Counselor (Professional)
2903 GALAHAD WAY
AUGUSTA, GA 30909
Richmond County (706) 495-2351
DERRICK E KIMBLE INC
Counselor (Professional)
2903 GALAHAD WAY
AUGUSTA, GA 30909
Richmond County (706) 495-2351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Kimble's NPI number?

The NPI number for Derrick Kimble is 1063737963. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Derrick Kimble located?

Derrick Kimble practices at 2903 Galahad Way, Augusta, GA 30909. The listed phone number is (706) 495-2351.

What is Derrick Kimble's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Derrick Kimble was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.