Individual provider Active NPI

Kara M Magill, LCSW

  • Mental Health Counselor
  • Peachtree City, GA
National Provider Identifier
1184995706
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW004551 Issued in GA
Practice address
2011 Commerce Dr N
Suite D106
Peachtree City, GA 30269-3538
Phone
(404) 953-5279
Fax
(678) 894-8472
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW004551 GA Primary

Addresses

Primary practice location

2011 Commerce Dr N
Suite D106
Peachtree City, GA 30269-3538

Mailing address

2011 Commerce Dr N
Suite D106
Peachtree City, GA 30269-3538
Phone (404) 953-5279

Other names 1

  • Kara M Magill Other 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
I20120710000756 GA Practitioner - Clinical Social Worker 1254596653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2011 Commerce Dr N
F109
Peachtree City, GA 30269-3538
Phone (404) 953-5279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW004551GAMDMental Health Counselor

Organizations & group practices 1

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1184995706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 COMMERCE DR N",
            "address_2": "SUITE D106",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "404-953-5279",
            "fax_number": "678-894-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 COMMERCE DR N",
            "address_2": "SUITE D106",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "404-953-5279",
            "fax_number": "678-894-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "KARA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW004551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "MAGILL",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.