Active NPI
Sandra Malone, CADC
- Addiction (Substance Use Disorder) Counselor
- Metter, GA
National Provider Identifier
1073137980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 5 SW Broad St
Metter, GA 30439-4433 - Phone
- (912) 515-5026
- NPI assigned
- Jun 5, 2020
- Last updated
- Jun 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | GA | Primary |
Addresses
Primary practice location
5 SW Broad St
Metter, GA 30439-4433
Mailing address
210 N Lewis St
Metter, GA 30439-4135
Phone (912) 314-4433
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Counseling Solutions, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Creative Counseling Solutions, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
5 SW Broad St
Metter, GA 30439
Phone (912) 507-4883
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba New Day Counseling
- Addiction (Substance Use Disorder) Counselor
- Savannah, GA
- NPI 1427750256
-
- Addiction (Substance Use Disorder) Counselor
- Savannah, GA
- NPI 1699176537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1073137980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N LEWIS ST",
"city": "METTER",
"state": "GA",
"postal_code": "304394135",
"telephone_number": "912-314-4433",
"fax_number": "912-785-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SW BROAD ST",
"city": "METTER",
"state": "GA",
"postal_code": "304394433",
"telephone_number": "912-515-5026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "SANDRA",
"credential": "CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-05",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metter, GA
- Kellys Dependable Transport
- Latoya Kennedy
- Stephanie Ann Kostan, FNP
- Jessica Latham, PHARMD
- Loy D. Cowart III MD PC
- Susan F McLendon, APRN, CNS-BC
- Taylor Watson Mercer, PHARMD
- Metter Chiropractic Center, Inc.
- Metter Nursing Home, Inc. (Metter Nursing Home)
- Metter Nursing Home, Inc. (Metter Nursing Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.