Kimberly Odom
NPI 1073083564ActiveIndividual· Specialist/Technologist, Speech-Language Assistant· Loganville, GA
Specialist/Technologist, Speech-Language Assistant in Loganville, Georgia, licensed in GA, with an NPI issued in November 2018.
Overview
| NPI | 1073083564 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 28, 2018 |
| Last updated in NPPES | Jul 10, 2025 |
| Certified by provider | Jul 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Speech-Language Assistant Primary | 2355S0801X | 000369 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|