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PORSHA KIMBROUGH PMHNP
NPI 1356113252
Nurse Practitioner - Psychiatric/Mental Health in Snellville, GA

Active since October 24, 2023PECOS Enrolled
2160 FOUNTAIN DR STE 100, SNELLVILLE, GA 30078(678) 344-8268 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2024, Oct 24, 2023 (2 updates tracked since 2023).

About Porsha Kimbrough Pmhnp NPPES

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

PORSHA KIMBROUGH PMHNP (NPI 1356113252) is an individual psychiatric/mental health provider in Snellville, Georgia, licensed in Georgia (RN273706) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356113252
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePORSHA KIMBROUGHCredential: PMHNP
Location Address2160 FOUNTAIN DR STE 100Snellville, GA 30078-7022
Mailing Address2078 Nuthatch DrHoschton, GA 30548-5401 · (619) 301-5315
Phone(678) 344-8268
Sole ProprietorNo
Enumeration DateOctober 24, 2023
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1356113252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in GA · RN273706✔ Licensed in SC · 29352
2160 FOUNTAIN DR STE 100, Snellville, GA 30078
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Porsha Kimbrough Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Porsha Kimbrough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charleston Counseling Center PC
251 mi
Mental Health
871 LOWCOUNTRY BLVD STE 200
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 285 clinicians in this Medicare group
NPI 1316375678 (843) 501-1099

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KERI L HOLLAND LPC
Counselor (Professional)
2160 FOUNTAIN DR STE 100
SNELLVILLE, GA 30078
Gwinnett County (678) 344-8268
DR. MARY MCMAHAN CHRISTENBURY M.D.
Psychiatry & Neurology (Psychiatry)
2160 FOUNTAIN DR STE 100
SNELLVILLE, GA 30078
Gwinnett County (678) 990-1880
SERENITY BRIDGE TELEPSYCHIATRY & WEIGHT MANAGEMENT, LLC
Clinic/Center (Adult Mental Health)
2160 FOUNTAIN DR STE 100
SNELLVILLE, GA 30078
Gwinnett County (470) 236-1785

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 Porsha Kimbrough's NPI number?

The NPI number for Porsha Kimbrough is 1356113252. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Where is Porsha Kimbrough located?

Porsha Kimbrough practices at 2160 Fountain Dr Ste 100, Snellville, GA 30078. The listed phone number is (678) 344-8268.

What is Porsha Kimbrough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Porsha Kimbrough enrolled in Medicare?

Yes. Porsha Kimbrough is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Porsha Kimbrough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Porsha Kimbrough reassigns Medicare benefits to Charleston Counseling Center PC (Mount Pleasant, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Porsha Kimbrough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Porsha Kimbrough was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.