P Praxis·MD
● Active Type 1 · Individual

Kimberly Lynn Ridall-Villagomez, MED

Counselor·Jackson, GA· NPI 1043986748 · Enumerated 2021 · 4 years on NPI
Ridall-Villagomez is 1 of 1 counselor providers in Jackson and 1 of 66 in Georgia.
NPI age
4 years
Enumerated 2021-08-22
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-08-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 66 active counselor providers in Georgia.

NPI age
4 years
↑ 3 yr above median (1 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-08Enumerated in NPPES
2021 2026

Where they practice

Practice location
771 Brownlee Rd
Jackson, GA 302332413
📞 9109207357
Mailing address
771 Brownlee Rd
Jackson, GA 302332413
📞 9109207357

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YS0200X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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