Active NPI
Tyrona Murry
- Professional Counselor
- Augusta, GA
National Provider Identifier
1114512530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014482
- Practice address
- 2604 Peach Orchard Rd Ste 200
Augusta, GA 30906-2406 - Phone
- (706) 922-0600
- Fax
- (706) 922-0603
- NPI assigned
- Mar 8, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC014482 | GA | Primary |
Addresses
Primary practice location
2604 Peach Orchard Rd Ste 200
Augusta, GA 30906-2406
Mailing address
4010 Old Waynesboro Rd
Augusta, GA 30906-8125
Phone (706) 288-8370
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Community Health Services Augusta, Inc | Current | Accepting new patients | |
| Christ Community Health Services Augusta, Inc | Current | Accepting new patients | |
| Christ Community Health Services Augusta, Inc. | Current | Accepting new patients | |
| First Focus Faith, LLC | Past | Accepting new patients | |
| Christ Community Health Services Augusta, Inc | Past | Accepting new patients | |
| Georgia Family Crisis Solutions | Professional | Past | Accepting new patients |
| Christ Community Health Services Augusta, Inc | Past | Accepting new patients |
Locations
127 Telfair St
Augusta, GA 30901
Phone (706) 922-0600
1238 Dantignac St
#D
Augusta, GA 30901
1226 Dantignac St
Augusta, GA 30901
Phone (706) 922-0600
1226 Dantignac St
#D
Augusta, GA 30901
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Augusta, GA
- NPI 1174716989
-
- Federally Qualified Health Center (FQHC)
- Augusta, GA
- NPI 1073192985
-
- Dental Clinic/Center
- Augusta, GA
- NPI 1104630748
-
- Federally Qualified Health Center (FQHC)
- Augusta, GA
- NPI 1043568264
-
- Federally Qualified Health Center (FQHC)
- Augusta, GA
- NPI 1992448476
-
- Community/Behavioral Health Agency
- Martinez, GA
- NPI 1861130932
-
- Professional Counselor
- Martinez, GA
- NPI 1164637773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1114512530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 OLD WAYNESBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309068125",
"telephone_number": "706-288-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 PEACH ORCHARD RD STE 200",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309062406",
"telephone_number": "706-922-0600",
"fax_number": "706-922-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRY",
"first_name": "TYRONA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.