Active NPI
Charles Augustin, MSW
- Professional Counselor
- Athens, GA
National Provider Identifier
1285605352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MSW003411
- Practice address
- 250 North Ave
Athens, GA 30601-2244 - Phone
- (706) 542-9739
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MSW003411 | GA | Primary |
Addresses
Primary practice location
250 North Ave
Athens, GA 30601-2244
Mailing address
250 North Ave
Athens, GA 30601-2244
Phone (706) 542-9700
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 |
|---|---|---|---|
| MSW003411 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Transition Programs, Inc | Professional | Past | Accepting new patients |
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": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1285605352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 NORTH AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306012244",
"telephone_number": "706-542-9700",
"fax_number": "706-227-7249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 NORTH AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306012244",
"telephone_number": "706-542-9739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTIN",
"first_name": "CHARLES",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "MSW003411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.