Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Marie Gammon, MS-CCCSLP

Individual provider Speech-Language Pathologist · NPI 1982233797

Kimberly Marie Gammon, MS-CCCSLP is a Qualified Speech Language Pathologist in Lawrenceville, Georgia. Qualified in 2019, 7 years ago. Practices with Sobe Innovative Rehabilitation PLLC, a 181-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

545 Old Norcross Rd Ste 200
Lawrenceville, GA 30046-3390
Phone: (678) 377-2833
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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 SLP010982 (GA)

Record details

NPI number1982233797
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS-CCCSLP
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sobe Innovative Rehabilitation Pllc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lawrenceville