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KIMBERLY MAUGHON
NPI 1407568454
Counselor in Conyers, GA

Active since December 21, 2022PECOS Enrolled
2375 WALL ST SE STE 240, CONYERS, GA 30013(770) 299-9943(470) 205-0228 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly Maughon NPPES

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

KIMBERLY MAUGHON (NPI 1407568454) is an individual counselor in Conyers, Georgia and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407568454
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY MAUGHON
Location Address2375 WALL ST SE STE 240Conyers, GA 30013-6702
Mailing Address1006 Boogers Hill RdOxford, GA 30054-3760 · (770) 712-5914 · Fax (470) 205-0228
Phone(770) 299-9943
Fax(470) 205-0228
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1407568454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2375 WALL ST SE STE 240, Conyers, GA 30013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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 Maughon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739647595
PECOS Enrollment IDI20260821001890
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 Kimberly Maughon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Creative Touch Counseling Center, LLC
Same address
Mental Health
2375 WALL ST SE STE 240
Conyers, GA 30013
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1881461903 (470) 829-6301

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 10

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

BURGESS ELITE CARE LLC
Home Health
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (770) 679-1121
LIFELINE EQUIPMENTS LLC
Durable Medical Equipment & Medical Supplies
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (866) 708-7292
FUNCTIONAL VITALITY
Occupational Therapist
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (678) 278-8348
TRANQUILITY BEHAVIORAL SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (770) 679-4567
VANESSA P ROBBINS
Counselor (Professional)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (678) 658-0592
CREATIVE TOUCH COUNSELING CENTER, LLC
Counselor (Mental Health)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (470) 829-6301
LACY MCKAY ADAMSON WEST APC ATR
Counselor
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (470) 829-6301
DONNA MARIE CROSS NP
Nurse Practitioner (Psychiatric/Mental Health)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Rockdale County (770) 679-4567

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 Maughon's NPI number?

The NPI number for Kimberly Maughon is 1407568454. It was assigned to this individual provider in the NPPES registry on December 21, 2022.

Where is Kimberly Maughon located?

Kimberly Maughon practices at 2375 Wall St SE Ste 240, Conyers, GA 30013. The listed phone number is (770) 299-9943.

What is Kimberly Maughon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kimberly Maughon enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Maughon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Maughon reassigns Medicare benefits to Creative Touch Counseling Center, LLC (Conyers, GA). 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 Kimberly Maughon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Maughon accept?

Health plans from Oscar Health list Kimberly Maughon 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 Maughon was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.