Individual provider Active NPI

Melodie Creager Good, M.A., L.P.C.

  • Professional Counselor
  • Martinez, GA
National Provider Identifier
1144568700
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC7083 Issued in GA
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

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LPC7083GAMDProfessional 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

Verify at the official NPI Registry.