Active NPI
Samuel Lewis Woolsey
- Behavior Technician
- Claxton, GA
National Provider Identifier
1134853187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-154412
- Practice address
- 1213 Perkins Mill Rd
Claxton, GA 30417-6465 - Phone
- (912) 567-5730
- Fax
- (912) 221-3711
- NPI assigned
- Jul 14, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-154412 | GA | Primary |
Addresses
Primary practice location
1213 Perkins Mill Rd
Claxton, GA 30417-6465
Mailing address
1213 Perkins Mill Rd
Claxton, GA 30417-6465
Phone (912) 567-5730
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 |
|---|---|---|---|
| RBT-21-154412 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O'Bear & Associates Behavior Services | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Claxton, GA
- NPI 1750987285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1134853187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 PERKINS MILL RD",
"city": "CLAXTON",
"state": "GA",
"postal_code": "304176465",
"telephone_number": "912-567-5730",
"fax_number": "912-221-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 PERKINS MILL RD",
"city": "CLAXTON",
"state": "GA",
"postal_code": "304176465",
"telephone_number": "912-567-5730",
"fax_number": "912-221-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLSEY",
"first_name": "SAMUEL",
"middle_name": "LEWIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-21-154412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claxton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.