Individual provider Active NPI

Sallie Ann Galyean, LCSW

  • Clinical Social Worker
  • Saint Marys, GA
National Provider Identifier
1144300591
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003693 Issued in GA
Practice address
4499 Ga Highway 40 E Ste a
Saint Marys, GA 31558-9402
Phone
(912) 674-1130
Fax
(912) 729-4626
NPI assigned
Oct 17, 2006
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003693 GA Primary

Addresses

Primary practice location

4499 Ga Highway 40 E Ste a
Saint Marys, GA 31558-9402

Mailing address

4499 Ga Highway 40 E Ste a
Saint Marys, GA 31558-9402
Phone (912) 674-1130

Other names 1

  • Miss Sallie Ann Horn Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000555 GA Practitioner - Clinical Social Worker 7517123144 Practice locations: Saint Marys, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4499 Hwy 40
Suite a
Saint Marys, GA 31558-9402
Phone (912) 674-1130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brand New Day Counseling Services, Inc. CurrentSince Nov 17, 2019 Accepting new patients
Heather Groom LLC Clinical CurrentSince Jul 22, 2025 Accepting new patients

Locations

4499 Highway 40
Ste A
Saint Marys, GA 31558
Phone (912) 227-8625

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1144300591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 GA HIGHWAY 40 E STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589402",
            "telephone_number": "912-674-1130",
            "fax_number": "912-729-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 GA HIGHWAY 40 E STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589402",
            "telephone_number": "912-674-1130",
            "fax_number": "912-729-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALYEAN",
        "first_name": "SALLIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLIE",
            "last_name": "HORN",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.