NPI age
20 years
Enumerated 2005-08-19
● Active
Type 1 · Individual
Kimberly Jan Tucker, M.ED., CCC-SLP
Tucker is 1 of 20 speech-language pathologist providers in Johns Creek and 1 of 5327 in Georgia.
Primary specialty
Speech-Language Pathologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-05-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5327 active speech-language pathologist providers in Georgia.
NPI age
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
10100 Groomsbridge Rd
Johns Creek, GA 300222673
Mailing address
10100 Groomsbridge Rd
Johns Creek, GA 300222673
Specialties
-
Speech-Language Pathologist PrimaryThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 637018452A | |
| 05 (GA) | 10033374 | |
| 01 (GA) | 52703821 002 | BLUE CROSS & BLUE SHIELD |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new speech-language pathologist provider has been added in Johns Creek in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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