Individual provider Active NPI

Linda Guillard Pugh, PHD

  • Mental Health Counselor
  • Tyrone, GA
National Provider Identifier
1003668278
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC014603 Issued in GA
Practice address
100 Glendalough CT Ste E
Tyrone, GA 30290-2942
Phone
(770) 683-9375
Fax
(678) 868-2354
NPI assigned
Apr 2, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC014603 GA Primary

Addresses

Primary practice location

100 Glendalough CT Ste E
Tyrone, GA 30290-2942

Mailing address

100 Glendalough CT Ste E
Tyrone, GA 30290-2942
Phone (770) 683-9375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113000263 GA Practitioner - Mental Health Counselor 7517495013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Discovery Counseling and Assessment Center, LLCGroup PAC ID 5092014175, 17 clinicians

Practice addresses (Care Compare)

4006 Hwy 34 E
Sharpsburg, GA 30277-3531
Phone (404) 960-1282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC014603GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Counseling and Assessment Center, LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

4006 Highway 34 E
Sharpsburg, GA 30277
Phone (404) 844-6868

420 Thomaston St
Zebulon, GA 30295
Phone (404) 960-1282

Networks

  • FL HMO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • TN PPO C-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • TN PPO
  • FL HMO C-SNP

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1003668278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLENDALOUGH CT STE E",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902942",
            "telephone_number": "770-683-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENDALOUGH CT STE E",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902942",
            "telephone_number": "770-683-9375",
            "fax_number": "678-868-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "LINDA",
        "middle_name": "GUILLARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC014603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

Verify at the official NPI Registry.