Annette Bogan, CACLL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

683 Lincoln LN
Cairo, GA 39828-3383

Phone

(292) 218-5592

NPI assigned

Nov 25, 2013

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15318/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1003246224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S HANSELL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925556",
            "telephone_number": "229-226-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 LINCOLN LN",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283383",
            "telephone_number": "292-218-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "ANNETTE",
        "credential": "CACLL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Bach, LD
• Megan Baggett, PHARMD
• Abdul Bari, M.D.
• Megan Beall
• Casey Sanders Bell, PHARM.D.
• Bettye Joyce Bradshaw
• Winston Burnum Brock Jr., PHARM.D
• Stuart Brooks, RRT, RCP
• Lumis Coats Brown, DDS
• Jeanna Maxwell Bryant

• Mental Health Counselor in Cairo, GA
• Providers in Cairo, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.