MRS. KIMBERLY JILL OSBORNE EDS, LPC
NPI 1629378955
Counselor - Professional in Conyers, GA

Active since November 03, 2010PECOS EnrolledAccepts Medicare Assignment
1269 PARKER RD SE, CONYERS, GA 30094(404) 234-0546(770) 761-9070 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberly Jill Osborne Eds, Lpc NPPES

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

MRS. KIMBERLY JILL OSBORNE EDS, LPC (NPI 1629378955) is an individual professional provider in Conyers, Georgia, licensed in Georgia (LPC006170) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mcdonough, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1629378955
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KIMBERLY JILL OSBORNECredential: EDS, LPC
Location Address1269 PARKER RD SEConyers, GA 30094-5957
Mailing Address1269 Parker Rd SeConyers, GA 30094-5957 · (404) 234-0546 · Fax (770) 761-9070
Fax(770) 761-9070
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 3, 2010
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
NPI 1629378955 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 · LPC006170
1269 PARKER RD SE, Conyers, GA 30094

Secondary Practice Location 1

Location 11944 Brannan RdMcDonough, GA 30253-4310 · Phone (404) 234-0546 · Fax (678) 289-6981

Other Identifiers 3

Medicaid003112503AGA
Medicaid003112500AGA
Medicaid003188998AGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly Jill Osborne Eds, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547795072
PECOS Enrollment IDI20241121000573
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.

Other Providers at the Same Location NPPES 2

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

Clinical Nurse Specialist (Psychiatric/Mental Health)
1269 PARKER RD SE
CONYERS, GA 30094
Counselor (Professional)
1269 PARKER RD SE
CONYERS, GA 30094

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 Osborne's NPI number?

The NPI number for Kimberly Osborne is 1629378955. It was assigned to this individual provider in the NPPES registry on November 3, 2010.

Where is Kimberly Osborne located?

Kimberly Osborne practices at 1269 Parker Rd SE, Conyers, GA 30094. The listed phone number is (404) 234-0546.

What is Kimberly Osborne's specialty?

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

Is Kimberly Osborne enrolled in Medicare?

Yes. Kimberly Osborne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Osborne accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Kimberly Osborne 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 Osborne was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.