Active NPI
Krista Dawn Overby, LCSW
- Clinical Social Worker
- Columbus, GA
National Provider Identifier
1245916121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008655
- Practice address
- 2022 15TH Ave
Columbus, GA 31901 - Phone
- (706) 392-6201
- Fax
- (706) 649-6521
- NPI assigned
- Jun 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW008655 | GA | Primary |
Addresses
Primary practice location
2022 15TH Ave
Columbus, GA 31901
Mailing address
1645 Hunter Rd
Cataula, GA 31804-2405
Phone (706) 596-5129
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 |
|---|---|---|---|
| CSW008655 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastoral Institute, Inc | Clinical | Current | Accepting new patients |
| St Francis Health LLC | Past | Accepting new patients |
Locations
2022 15th Ave
Columbus, GA 31901
Phone (706) 649-6500
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1033228168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1245916121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 HUNTER RD",
"city": "CATAULA",
"state": "GA",
"postal_code": "318042405",
"telephone_number": "706-596-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 15TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31901",
"telephone_number": "706-392-6201",
"fax_number": "706-649-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERBY",
"first_name": "KRISTA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW008655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.