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KIMBERLY ODOM LPC
NPI 1396140331
Counselor - Professional in Augusta, GA

Active since November 04, 2014PECOS Enrolled
1265 INTERSTATE PKWY, AUGUSTA, GA 30909(706) 849-3386 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2025, Mar 31, 2023 (2 updates tracked since 2023).

About Kimberly Odom Lpc NPPES

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

KIMBERLY ODOM LPC (NPI 1396140331) is an individual professional provider in Augusta, Georgia, licensed in Georgia (007734) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396140331
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY ODOMCredential: LPC
Location Address1265 INTERSTATE PKWYAugusta, GA 30909-6481
Mailing Address465 Winn Way Ste 221Decatur, GA 30030-1723 · (888) 588-8995
Phone(706) 849-3386
Sole ProprietorYes
Enumeration DateNovember 4, 2014
Last NPPES UpdateFebruary 21, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1396140331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 007734
1265 INTERSTATE PKWY, Augusta, GA 30909
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1191 Faith Dr SEMilledgeville, GA 31061-8327 · Phone (770) 712-1743
Location 2465 Winn Way Ste 221Decatur, GA 30030-1723 · Phone (888) 588-8995

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Odom Lpc 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 Reassignments

2

Medicare enrollment records show Kimberly Odom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Improvement Project Inc
Same address
Federally Qualified Health Center (FQHC)
1265 INTERSTATE PKWY
Augusta, GA 30909
  • Reassigned Medicare billing, Georgia enrollment
  • 90 clinicians in this Medicare group
NPI 1285387860 (706) 790-4440
Christopher Dennis MD PLLC
126 mi
Psychiatry
11340 LAKEFIELD DR STE 200
Johns Creek, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 137 clinicians in this Medicare group
NPI 1588090229 (800) 275-3243

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

Other Providers at the Same Location NPPES 4

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

NEIGHBORHOOD IMPROVEMENT PROJECT INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1265 INTERSTATE PKWY
AUGUSTA, GA 30909
Richmond County (706) 790-4440
STEPHANIE ANNE NORTHINGTON PH.D.
Psychologist
1265 INTERSTATE PKWY
AUGUSTA, GA 30909
Richmond County (706) 849-3386
MRS. LINDSEY BRICE TORDOFF
Physician Assistant (Medical)
1265 INTERSTATE PKWY
AUGUSTA, GA 30909
Richmond County (706) 849-3330
MRS. SYLINA HOLMES LCSW
Social Worker (Clinical)
1265 INTERSTATE PKWY
AUGUSTA, GA 30909
Richmond County (706) 849-3386

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 1396140331. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Kimberly Odom located?

Kimberly Odom practices at 1265 Interstate Pkwy, Augusta, GA 30909. The listed phone number is (706) 849-3386.

What is Kimberly Odom's specialty?

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

Is Kimberly Odom enrolled in Medicare?

Yes. Kimberly Odom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Odom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Odom reassigns Medicare benefits to 2 organizations: Neighborhood Improvement Project Inc (Augusta, GA) and Christopher Dennis MD PLLC (Johns Creek, GA). Each 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 Kimberly Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Odom accept?

Health plans from Alliant Health Plans, Inc. and CareSource list Kimberly Odom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Odom was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.