Active NPI
Madison Leigh Fields, LPC
- Professional Counselor
- Statesboro, GA
National Provider Identifier
1326800210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC016683
- Practice address
- 326 Myrtle Crossing Dr
Statesboro, GA 30458-4688 - Phone
- (912) 764-7001
- NPI assigned
- Jan 25, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC016683 | GA | Primary |
Addresses
Primary practice location
326 Myrtle Crossing Dr
Statesboro, GA 30458-4688
Mailing address
PO Box 95
Brooklet, GA 30415-0095
Phone (912) 712-1712
Other practice location 1
112 Parker Ave S
Brooklet, GA 30415-8208
Phone (912) 712-1712
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 |
|---|---|---|---|
| LPC016683 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Fields LPC LLC | Current | Accepting new patients | |
| Pawsitive Counseling Center PC | Professional | Past | Accepting new patients |
Locations
112 Parker Ave S
Brooklet, GA 30415
Phone (912) 712-1712
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklet, GA
- NPI 1265361455
-
- Professional Counselor
- Fremont, MI
- NPI 1447885447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1326800210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95",
"city": "BROOKLET",
"state": "GA",
"postal_code": "304150095",
"telephone_number": "912-712-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 MYRTLE CROSSING DR",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584688",
"telephone_number": "912-764-7001"
}
],
"practiceLocations": [
{
"address_1": "112 Parker Ave S",
"address_purpose": "LOCATION",
"city": "Brooklet",
"state": "GA",
"postal_code": "304158208",
"country_code": "US",
"telephone_number": "912-712-1712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIELDS",
"first_name": "MADISON",
"middle_name": "LEIGH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC016683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.