Individual provider Active NPI

Tera Nicole Murchinson, LPC

  • Professional Counselor
  • Waycross, GA
National Provider Identifier
1326860404
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC015125 Issued in GA
Practice address
218 Screven Ave
Waycross, GA 31501-3452
Phone
(912) 281-5246
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1395 GA
Professional Counselor 101YP2500X LPC015125 GA Primary

Addresses

Primary practice location

218 Screven Ave
Waycross, GA 31501-3452

Mailing address

3068 Southwood Dr
Waycross, GA 31503-9505
Phone (912) 281-5246

Other practice location 1

3068 Southwood Dr
Waycross, GA 31503-9505
Phone (912) 281-5246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1395GAMDAddiction (Substance Use Disorder) Counselor
LPC015125GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
K Somanath MD Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

1907 Sunset Blvd
Ste B
Jesup, GA 31545
Phone (912) 910-2770

1907 Sunset Blvd
Jesup, GA 31545
Phone (912) 530-7516

3760 US Highway 17
Unit 11
Richmond Hill, GA 31324
Phone (912) 910-2770

6606 Abercorn St
Ste 101B
Savannah, GA 31405
Phone (912) 910-2770

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1326860404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 SOUTHWOOD DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315039505",
            "telephone_number": "912-281-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SCREVEN AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013452",
            "telephone_number": "912-281-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3068 Southwood Dr",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315039505",
            "country_code": "US",
            "telephone_number": "912-281-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURCHINSON",
        "first_name": "TERA",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1395",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.