KIMBY GRAVES (LPC) – Addiction (Substance Use Disorder) Counselor, NPI 1104054600
Addiction (Substance Use Disorder) Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,200 MENTAL HEALTH COUNSELOR in GA
Provider Addresses for KIMBY GRAVES (LPC)
6003 VETERANS PKWY STE 100
COLUMBUS, GA 319096284
Phone: (706) 221-3222
Type: Mailing
5700 VETERANS PKWY
COLUMBUS, GA 319049093
Phone: (706) 221-3222
Type: Location
8400, Veterans Parkway, Columbus, Muscogee County, Georgia, 31909, United States
APT. 406
COLUMBUS, GA 319092416
Phone: (843) 933-0598
Type: Mailing
Columbus Health Department, 2100, Comer Avenue, Rose Hill, Columbus, Muscogee County, Georgia, 31904, United States
COLUMBUS, GA 319048725
Phone: (706) 596-5589
Fax: (706) 596-5583
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240112003286 | I | Mental Health Counselor | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Mental Health Counselor | GA | |
| Clinical Psychologist | WA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | AL | |
| Mental Health Counselor | GA | |
| Clinical Social Worker | GA | |
| Nurse Practitioner | GA | |
| Clinical Social Worker | GA | |
| - | GA |
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