Individual provider Active NPI

Shawn Marie Edgington, LPC, LCDC

  • Professional Counselor
  • Sparta, GA
National Provider Identifier
1124504766
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76508 Issued in TX
Practice address
1040 Pine Valley Rd
Sparta, GA 31087-7187
Phone
(478) 232-4594
NPI assigned
Jul 17, 2018
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 76508 TX Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X TPMC1215 FL

Addresses

Primary practice location

1040 Pine Valley Rd
Sparta, GA 31087-7187

Mailing address

1040 Pine Valley Rd
Sparta, GA 31087-7187
Phone (478) 232-4594

Other names 1

  • Mrs. Shawn Marie Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250926001264 TX Practitioner - Mental Health Counselor 6103321484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

3223 S Loop
289 Suite 600
Lubbock, TX 79423-1372
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76508TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Edge of Hope LLC Mental Health CurrentSince Dec 31, 2023 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Aug 4, 2025 Accepting new patients

Locations

3223 S Loop 289
Ste 600
Lubbock, TX 79423
Phone (512) 839-7478

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

Interoperability endpoints

  • Direct secure messaging: shawnedgington@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1124504766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 PINE VALLEY RD",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310877187",
            "telephone_number": "478-232-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 PINE VALLEY RD",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310877187",
            "telephone_number": "478-232-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGINGTON",
        "first_name": "SHAWN",
        "middle_name": "MARIE",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76508",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC1215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "HALL",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sparta, GA

Sources for this page

Verify at the official NPI Registry.