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

Kimberly Jan Tucker, MED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1336131994

Kimberly Jan Tucker, MED, CCC-SLP is a Speech-Language Pathologist in Johns Creek, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

10100 Groomsbridge Rd
Johns Creek, GA 30022-2673
Phone: (770) 880-7684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP00006300 (GA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence PCET001021 (GA)

Record details

NPI number1336131994
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESMay 6, 2022
Certification dateMay 6, 2022

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