Active NPI
Melodie Creager Good, M.A., L.P.C.
- Professional Counselor
- Martinez, GA
National Provider Identifier
1144568700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC7083
- Practice address
- 4210 Columbia Rd Ste 4D
Martinez, GA 30907-0403 - Phone
- (706) 250-2030
- NPI assigned
- Jan 16, 2013
- 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 | LPC7083 | GA | Primary |
Addresses
Primary practice location
4210 Columbia Rd Ste 4D
Martinez, GA 30907-0403
Mailing address
4210 Columbia Rd Ste 4D
Martinez, GA 30907-0403
Phone (706) 250-2030
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241230002395 | GA | Practitioner - Mental Health Counselor | 0345777520 | Practice locations: Martinez, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- University of South Florida College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4210 Columbia Rd
Suite 4D
Martinez, GA 30907-0403
Phone (706) 250-2030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC7083 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1144568700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 COLUMBIA RD STE 4D",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309070403",
"telephone_number": "706-250-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 COLUMBIA RD STE 4D",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309070403",
"telephone_number": "706-250-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "MELODIE",
"middle_name": "CREAGER",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC7083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.