Active NPI
Andrea Carter Wolverton, LMFT, CADC II
- Marriage & Family Therapist
- Thomaston, GA
National Provider Identifier
1144713454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001628
- Practice address
- 231 Sunnyside Rd
Thomaston, GA 30286-7442 - Phone
- (706) 665-6998
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1180 | GA | |
| Marriage & Family Therapist | 106H00000X | MFT001628 | GA | Primary |
Addresses
Primary practice location
231 Sunnyside Rd
Thomaston, GA 30286-7442
Mailing address
231 Sunnyside Rd
Thomaston, GA 30286-7442
Phone (706) 665-6998
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 |
|---|---|---|---|
| MFT001628 | GA | MD | Marriage & Family Therapist |
| 1180 | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1144713454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SUNNYSIDE RD",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302867442",
"telephone_number": "706-665-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 SUNNYSIDE RD",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302867442",
"telephone_number": "706-665-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLVERTON",
"first_name": "ANDREA",
"middle_name": "CARTER",
"credential": "LMFT, CADC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "1180",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.