MRS. KIMBERLY ODOM
NPI 1073083564
Specialist/Technologist - Speech-Language Assistant in Loganville, GA

Q: What is Kimberly Odom's NPI number?

The NPI number for Kimberly Odom is 1073083564. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Q: What is Kimberly Odom's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Odom was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 28, 2018

2602 WHITE ROSE DR, LOGANVILLE, GA 30052(404) 644-2006 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Nov 28, 2018 (2 updates tracked since 2018).

On this page

About Mrs. Kimberly Odom NPPES

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

MRS. KIMBERLY ODOM (NPI 1073083564) is an individual speech-language assistant in Loganville, Georgia, licensed in Georgia (000369) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1073083564

Entity TypeIndividualFemale

Primary Taxonomy2355S0801X

Provider Legal NameMRS. KIMBERLY ODOM

Location Address2602 WHITE ROSE DRLoganville, GA 30052-2196

Mailing Address2602 White Rose DrLoganville, GA 30052-2196 · (404) 644-2006

Phone(404) 644-2006

Sole ProprietorNo

Enumeration DateNovember 28, 2018

Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1073083564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers

Taxonomy Code2355S0801X

License✔ Licensed in GA · 000369

2602 WHITE ROSE DR, Loganville, GA 30052

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Other Providers at the Same Location NPPES

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

COMFORT WAY HOME CARE, LLC

In Home Supportive Care

2602 WHITE ROSE DR
LOGANVILLE, GA 30052

Gwinnett County (404) 738-5641

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 Kimberly Odom's NPI number?

The NPI number for Kimberly Odom is 1073083564. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Kimberly Odom located?

Kimberly Odom practices at 2602 White Rose Dr, Loganville, GA 30052. The listed phone number is (404) 644-2006.

What is Kimberly Odom's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Kimberly Odom was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.