KIMBERLY B ALFORD CCC-SLP
NPI 1730526021
Speech-Language Pathologist in Newnan, GA
NPI Status: Active since May 28, 2013
Contact Information
121 JACKSON ST
NEWNAN, GA
ZIP 30263
Phone: (770) 251-5873
Fax: (770) 304-2201
- Individual
- Female
- Years of Experience 39
- Speech-Language Pathologist
- Accepts Medicare Approved Payment
About KIMBERLY ALFORD
This page provides the complete NPI Profile along with additional information for Kimberly Alford, a provider established in Newnan, Georgia with a medical specialization in Speech-language Pathologist and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1730526021 assigned on May 2013. The practitioner's primary taxonomy code is 235Z00000X with license number SLP003481 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1730526021
- Provider Name
- KIMBERLY B ALFORD CCC-SLP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 121 JACKSON ST NEWNAN, GA 30263
- Location Phone
- (770) 251-5873
- Location Fax
- (770) 304-2201
- Mailing Address
- 3600 E HIGHWAY 166 CARROLLTON, GA 30116
- Mailing Phone
- (404) 444-6778
- Medical School Name
- OTHER
- Graduation Year
- 1987
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-28-2013
- Last Update Date
- 08-07-2023
- Code Navigator
Location Map
Secondary Locations
- 121B Lee St
Carrollton, GA 30117
(770) 830-8622
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- SLP003481
- License State
- GA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003178358C | MEDICAID (05) | GA | |
| 003178358A | MEDICAID (05) | GA |
Medicare Participation & PECOS Enrollment Status
Kimberly Alford is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 5698990901
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140630001300
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 3 | 0 | 5 | 2 | 6 | 0 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 10 | 2 | 12 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 1 + 0 + 2 + 1 + 2 + 0 + 4 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1730526021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972551968 | DR. LYNETTE MARIE WIEST PSY. D. Individual | Psychologist | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1871541169 | PAMELA SUE COOK LPC Individual | Counselor (Professional) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1457399966 | JANET GAFFNEY PSY. D. Individual | Psychologist (Cognitive & Behavioral) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1043253982 | JOSEPH ADAMS M.S., LPC Individual | Counselor (Professional) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1790922565 | ERIN DAVIS LMFT, NCC Individual | Marriage & Family Therapist | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1215266333 | D'NETRA NICHOLE SMITH LPC Individual | Counselor (Professional) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1740764851 | SARAH B LYLE PHD Individual | Psychologist (Clinical) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1114985785 | DR. THOMAS SMITH FREEMAN PSY.D. Individual | Psychologist (Clinical) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1881350551 | MRS. SANDRA LYNNE JACKSON LPC Individual | Counselor (Professional) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1144650425 | MRS. CONNIE GIBSON LPC Individual | Counselor (Professional) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1952732703 | JOYCE DIVINYI LPC Individual | Counselor (Professional) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
| 1447507918 | REBEKAH DINGLER LPC Individual | Counselor (Professional) | 121 JACKSON ST NEWNAN, GA 30263 (770) 251-5873 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730526021, enumerated in the NPI registry as an "individual" on May 28, 2013
The provider is located at 121 Jackson St Newnan, Ga 30263 and the phone number is (770) 251-5873
The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X
The provider has more than 39 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 28, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.