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KIMBERLY MARIE GAMMON MS-CCC SLP
NPI 1982233797
Speech-Language Pathologist in Lawrenceville, GA

Active since April 03, 2020Accepts Medicare Assignment
545 OLD NORCROSS RD STE 200, LAWRENCEVILLE, GA 30046(678) 377-2833 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Marie Gammon Ms-ccc Slp NPPES

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

KIMBERLY MARIE GAMMON MS-CCC SLP (NPI 1982233797) is an individual speech-language pathologist provider in Lawrenceville, Georgia, licensed in Georgia (SLP010982) and active in the NPI registry since April 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1982233797
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY MARIE GAMMONCredential: MS-CCC SLP
Location Address545 OLD NORCROSS RD STE 200Lawrenceville, GA 30046-3390
Mailing Address6125 Roswell Rd Unit 442Atlanta, GA 30328-3936 · (404) 908-2095
Phone(678) 377-2833
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1982233797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in GA · SLP010982
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
545 OLD NORCROSS RD STE 200, Lawrenceville, GA 30046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Marie Gammon Ms-ccc Slp 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 ID749667699
PECOS Enrollment IDI20260703000936

Medicare Billing Reassignment

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

Sobe Innovative Rehabilitation PLLC
597 mi
Physical Therapist
21005 NE 19TH CT
Miami, FL 33179
  • Reassigned Medicare billing, Florida enrollment
  • 318 clinicians in this Medicare group
NPI 1164800595 (585) 354-3847

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 20

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

RACHEL B DUKE M.ED. CCCSLP
Speech-Language Pathologist
545 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 377-2833
SARA THOMPSON
Speech-Language Pathologist
545 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 377-2833
SHERI PHILLIPS
Speech-Language Pathologist
545 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 377-2833
KELLI MCLEOD M.ED CCC-SLP
Speech-Language Pathologist
545 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 377-2833
CHRISTINE RUEGER UNDERWOOD MSCCCSLP
Speech-Language Pathologist
545 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 377-2833
SHELBY ELIZABETH ALLEN CCC-SLP
Speech-Language Pathologist
545 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 377-2833
MRS. KEENA MICHELLE SMITH MA, CCC-SLP
Speech-Language Pathologist
545 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 377-2833
SARAH CATE SHANKS CCC-SLP
Speech-Language Pathologist
545 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 377-2833

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 Gammon's NPI number?

The NPI number for Kimberly Gammon is 1982233797. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Kimberly Gammon located?

Kimberly Gammon practices at 545 Old Norcross Rd Ste 200, Lawrenceville, GA 30046. The listed phone number is (678) 377-2833.

What is Kimberly Gammon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kimberly Gammon enrolled in Medicare?

Yes. Kimberly Gammon 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.

Which organization bills Medicare for Kimberly Gammon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Gammon reassigns Medicare benefits to Sobe Innovative Rehabilitation PLLC (Miami, FL). 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 Gammon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Gammon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kimberly Gammon 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 Gammon was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.