Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Averett

Individual provider Clinical Social Worker · NPI 1508390667

Kimberly Averett is a Clinical Social Worker in Tucker, Georgia. Qualified in 2011, 15 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2017

Practice location Address checks out

6200 Bellecliff Run
Tucker, GA 30084-8628
Phone: (954) 531-4790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW006057 (GA)

Record details

NPI number1508390667
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2017
Last updated in NPPESApril 16, 2017
Mailing address6200 Bellecliff Run, Tucker, GA 30084-8628

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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