Keith Hutcheson

Key facts

NPI

1003212903

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

Practice address

207 N Anderson Dr
Swainsboro, GA 30401-4440

Phone

(478) 289-2486

Fax

(478) 289-2798

NPI assigned

Nov 5, 2014

Sex

Male

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Service Board of Middle Georgia Mental Health Clinic/Center (Including Community Mental Health Center) · Swainsboro, GA · NPI 1134640451
  NPD (past)
• Ogeechee Behavioral Health Services Community/Behavioral Health Agency · Swainsboro, GA · NPI 1255481909
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 5, 2014.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1003212903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N ANDERSON DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014440",
            "telephone_number": "478-289-2486",
            "fax_number": "478-289-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N ANDERSON DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014440",
            "telephone_number": "478-289-2486",
            "fax_number": "478-289-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHESON",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

• Jasmine Charmaine Hightower
• Gerald B Holsonback, DC
• Chelsie Hooks Morris, SLP
• Dianne Renee Hooks, DO
• Michele D Hughes, RN
• Krista Karen Hutcheson, LMT
• Jap Healthcare Services, LLC
• Amanda Sweat Jarriel, FNP-C
• Angela Joy Jernigan, R.N.
• Jimmy D Bellamy DMD LLC

All providers in Swainsboro, GA · Addiction (Substance Use Disorder) Counselor in Georgia