Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly A Southam-Gerow, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1598316424

Kimberly A Southam-Gerow, NURSEPRACTITIONER is a Nurse Practitioner in Richmond, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2019, 7 years ago. Practices with Dominion Behavioral Healthcare, a 27-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
7
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2019
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Practice location Address checks out

2305 N Parham Rd Ste 3
Richmond, VA 23229-3156
Phone: (804) 263-4365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024178278 (VA)

Record details

NPI number1598316424
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedSeptember 23, 2019
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Dominion Behavioral Healthcare — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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