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KIMBERLY BROYLES TEPKER LPC
NPI 1588091102
Counselor - Professional in Suwanee, GA

Active since September 27, 2013Opted out of Medicare · through Jan 22, 2028
4485 TENCH RD, SUITE 840, SUWANEE, GA 30024(770) 490-6545 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Broyles Tepker Lpc NPPES

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

KIMBERLY BROYLES TEPKER LPC (NPI 1588091102) is an individual professional provider in Suwanee, Georgia, licensed in Georgia (03810) and active in the NPI registry since September 2013. She has opted out of Medicare through January 22, 2028.

NPPES Registry Identity

NPI1588091102
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY BROYLES TEPKERCredential: LPC
Location Address4485 TENCH RD, SUITE 840Suwanee, GA 30024-6739
Mailing Address381 Creek Manor WaySuwanee, GA 30024-6565 · (770) 490-6545
Phone(770) 490-6545
Sole ProprietorYes
Enumeration DateSeptember 27, 2013
Last NPPES UpdateAugust 5, 2014
✔ NPI 1588091102 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 · 03810
4485 TENCH RD, Suwanee, GA 30024
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Broyles Reddick

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly Broyles Tepker Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 22, 2024 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2024
Opt-Out In Effect ThroughJanuary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

DR. EFFIE S DOLORES M.D.
Pediatrics
4485 TENCH RD, STE 630
SUWANEE, GA 30024
Gwinnett County (770) 904-5252
PRISCILLA JOANNE KING L.P.C.
Counselor (Professional)
4485 TENCH RD, SUITE 850
SUWANEE, GA 30024
Gwinnett County (678) 523-0525
LYNN OVERTON
Counselor (Professional)
4485 TENCH RD, SUITE 730
SUWANEE, GA 30024
Gwinnett County (678) 714-3924
ST JOSEPH'S PEDIATRICS LLC
Pediatrics
4485 TENCH RD, STE 630
SUWANEE, GA 30024
Gwinnett County (770) 904-5252
MADDINENI HOLDINGS LLC
Family Medicine
4485 TENCH RD, SUITE NO 120
SUWANEE, GA 30024
Gwinnett County (770) 932-7605
SHARON C BUDDINGTON LCSW
Social Worker (Clinical)
4485 TENCH RD, SUITE 840
SUWANEE, GA 30024
Gwinnett County (678) 436-0056
BUDDINGTON PSYCHOLOGY CLINIC, PC
Psychologist
4485 TENCH RD, SUITE 840
SUWANEE, GA 30024
Gwinnett County (770) 493-9177
ROGER W BUDDINGTON PH.D.
Psychologist
4485 TENCH RD, SUITE 840
SUWANEE, GA 30024
Gwinnett County (770) 493-9177

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 Tepker's NPI number?

The NPI number for Kimberly Tepker is 1588091102. It was assigned to this individual provider in the NPPES registry on September 27, 2013. The provider is also known as Kimberly Broyles Reddick.

Where is Kimberly Tepker located?

Kimberly Tepker practices at 4485 Tench Rd Suite 840, Suwanee, GA 30024. The listed phone number is (770) 490-6545.

What is Kimberly Tepker's specialty?

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

Is Kimberly Tepker enrolled in Medicare?

No. Kimberly Tepker has opted out of Medicare through January 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Tepker was last updated on August 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.