Magdana Philossaint, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004690 Issued in GA

Practice address

9991 Commerce St.
Summerville, GA 30747

Phone

(678) 826-7554

NPI assigned

May 21, 2012

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

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Mindcare, LLC

  • Case Management Agency
  • Summerville, GA
  • NPI 1841550993
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1033479340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7886 DRY CREEK RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307476851",
            "telephone_number": "678-826-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9991 COMMERCE ST.",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "30747",
            "telephone_number": "678-826-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILOSSAINT",
        "first_name": "MAGDANA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Odom
• Shannon Owensby, RN
• P. Carl Davidson MD PC
• Stacey Hipps Page, NCC, LPC
• Mary Doster Parker, ED. S
• Pledger Behavior Consulting, LLC
• Erin Marks Pledger, M.ED.
• Tyler Wayne Pledger, MS, BCBA
• Primary Health Care Center of Dade, Inc.
• RX Choice II LLC

• Clinical Social Worker in Summerville, GA
• Providers in Summerville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.