Individual provider Active NPI

Akemi-Joi McGoogan, LCSW

  • Social Worker
  • Peachtree Corners, GA
National Provider Identifier
1174935332
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW005518 Issued in GA
Practice address
6624 Jimmy Carter Blvd
Peachtree Corners, GA 30071-1727
Phone
(404) 900-5450
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW005518 GA Primary

Addresses

Primary practice location

6624 Jimmy Carter Blvd
Peachtree Corners, GA 30071-1727

Mailing address

6624 Jimmy Carter Blvd Ste a
Peachtree Corners, GA 30071-1727
Phone (404) 900-5450

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
I20180205000849 GA Practitioner - Clinical Social Worker 7315207750 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005518GAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Apr 29, 2018 Accepting new patients
Highland Rivers Community Service Board CurrentSince Apr 29, 2018 Accepting new patients
Personal Recovery Network LLC CurrentSince Jun 1, 2019 Accepting new patients
Grow Healthcare Group PA CurrentSince Jul 4, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

126 Enterprise Path
Ste 206
Hiram, GA 30141
Phone (678) 567-0920

400 Technology Ct SE
Ste J
Smyrna, GA 30082
Phone (770) 431-2354

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.akemi-joimcgoogan@124220.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1174935332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 JIMMY CARTER BLVD STE A",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300711727",
            "telephone_number": "404-900-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 JIMMY CARTER BLVD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300711727",
            "telephone_number": "404-900-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOOGAN",
        "first_name": "AKEMI-JOI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW005518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

Verify at the official NPI Registry.