Active NPI
Austin Wood, EDS
- Professional Counselor
- Winder, GA
National Provider Identifier
1023990991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC009836
- Practice address
- 90 Church St
Winder, GA 30680-1714 - Phone
- (470) 238-9064
- NPI assigned
- Jul 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC009836 | GA | Primary |
Addresses
Primary practice location
90 Church St
Winder, GA 30680-1714
Mailing address
1219 Willow Dr
Auburn, GA 30011-3420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC009836 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1023990991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 WILLOW DR",
"city": "AUBURN",
"state": "GA",
"postal_code": "300113420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 CHURCH ST",
"city": "WINDER",
"state": "GA",
"postal_code": "306801714",
"telephone_number": "470-238-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "AUSTIN",
"credential": "EDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-22",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC009836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winder, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.