Wyllie V McGruder, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010144 Issued in GA

Practice address

233 12TH St
Columbus, GA 31901-2462

Phone

(706) 249-5976

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Savida Health, PC

  • Addiction Medicine (Internal Medicine) Physician
  • Bennington, VT
  • NPI 1598225021
  Medicare reassignment NPD
• Bump Cancer, Corp

  • Mental Health Counselor
  • Columbus, GA
  • NPI 1295211167
  NPD Authorized official
• Savida Health, PC

  • Addiction Medicine (Internal Medicine) Physician
  • Gilford, NH
  • NPI 1285388546
  NPD

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1215413182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8182",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088182",
            "telephone_number": "706-358-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 12TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012462",
            "telephone_number": "706-249-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRUDER",
        "first_name": "WYLLIE",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "010144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary McGraw
• James E. McGrory, M.D.
• Sallye Anne McGrory, FNP-C
• Demetria Laprel McGruder
• Leo McGruder, RN
• Erroll McHugh
• Christopher Leon McIntire, MD
• Marie Kathlyn McIntosh, FNP-C
• Onedia Natasha McIntosh
• Wade H. McIntyre III, D.D.S.

• Mental Health Counselor in Columbus, GA
• Providers in Columbus, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.

Verify at the official NPI Registry.